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States should consolidate or coordinate agencies responsible for LTSS, including Medicaid, state-funded programs, Older Americans Act programs, and the state agency on aging
The operations and functions of each organization in an Aging and Disability Resource Center
Conflict-free care management should be an essential part of any LTSS system.
States should ensure that all LTSS programs use a person- and family-centered (when desired) service planning process that reflects individuals' preferences
Federal law and regulations specify the general eligibility and coverage requirements for mandatory and optional Medicaid long-term services and supports (LTSS).
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.
Enforcement should include swift and meaningful penalties for substandard care.
States should fund sufficient quality monitors to inspect all providers at least annually.