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Federal regulations should promote home-care quality assurance standards that are guided by flexible consumer-oriented principles. The prin

States should be required to conduct annual scheduled in-home surveys that assess clients’ experience and involvement in care plans and outcomes.

States should extend the purview of their existing ombudsman programs to include long-term services and supports delivered in homes.

States should require agencies to establish grievance and appeals procedures and provide consumers with written notice of their right to voice grievances.

States should require that home-care providers adequately train family caregivers who agree to use technology (such as home dialysis, tube feeding, and continuous intravenous infu

States must demonstrate to CMS that their methods to ensure backup workers are available to all individuals who receive Medicaid-funded home and community-based servic

Federal and state governments should ensure that people with dementia and other mental disorders receive necessary treatment and LTSS in the most a

PASRR rules must recognize that people with serious mental illness may not show significant change but still may have unmet mental health needs.