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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.
All federal and state agencies with a key role in financing or delivering LTSS should coordinate their efforts.
People should be eligible for LTSS on the basis of functional needs.
States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan. It should be used in all state LTSS programs.
Federal and state governments should develop comprehensive, coordinated approaches to financing and delivering care to individuals whose needs are currently met through multiple service systems.&nb