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States should ensure that training programs for direct-care workers in all LTSS settings address the care of all populations with mental disorders.
States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.
Funds should be provided for education and training for long-term services and supports (LTSS) workers, especially those in short supply, such as certified nursing assistants.
Policymakers should remove barriers to the effective use and hiring of APRNs, such as nurse practitioners, in all LTSS settings.
Federal and state governments must ensure that Medicaid and other public program reimbursements are sufficient to pay wages and benefits that will attract and retain LTSS workers.
Policymakers should require a comprehensive national background check prior to employment for all LTSS workers.
Congress and the states should ensure adequate Medicaid funding and maintain existing guarantees for Medicaid long-term services and supports (LTSS).
Federal and state governments should ensure that Medicaid reimbursement is sufficient to guarantee access to the full range of high-quality long-term services and supports in all service settings.