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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.
Several recent legislative efforts in Congress have included proposals that would cap the federal contribution (overall in a block grant or per person in a per capita cap) to Medicaid.
Providers of long-term services and supports (LTSS) cannot ensure high-quality services without sufficient funding.
Medicaid coverage of long-term services and supports (LTSS) provides a safety net for vulnerable older people—and younger people with disabilities—who have low incomes and few assets.
Under current Medicaid financial eligibility rules, individuals may not have more than $2,000 in assets. In addition, long-term care insurance (LTCI) is difficult to obtain.
Poverty is defined by comparing household income with the minimum income required for basic needs. People whose income is below the threshold are considered poor.
Federal and state programs help many older people with low incomes. These programs provide access to vital services like income support and health care.
Title III of the Older Americans Act (OAA) provides funding for a wide range of long-term services and supports (LTSS), social, and nutritional services.