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At the federal level, the two categories of budgetary expenditures are entitlement and discretionary spending. 

Medicaid is the single largest public funding source for long-term services and supports (LTSS). It is a combined federal-state program. Some Medicaid services are federally mandated.

Federal law and regulations specify the general eligibility and coverage requirements for mandatory and optional Medicaid long-term services and supports (LTSS).

Many chronic illnesses and other health conditions—such as heart disease, cancer, multiple sclerosis, arthritis, diabetes, and emphysema—can result in functional limitations.

Many states are enrolling Medicaid participants in capitated, risk-based managed care plans designed to coordinate all their care, including long-term services and supports (LTSS) if needed.

Government and providers of long-term services and supports (LTSS) use various approaches to promote service quality and protect consumer rights.

Nursing facilities provide long-term services and supports (LTSS), as well as short-term rehabilitation and postacute care following hospitalizations to people of all ages.

Federal, state, and local consumer protection agencies all have a role in safeguarding consumers against fraud, deception, and unfair practices.

New technologies have tremendous potential to transform the lives of all people.

In cases of extremely short supply or high demand, sellers may attempt to profit from the scarcity of essential products and services.