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Respect for patients’ autonomy and the right to self-determination are essential features of a high-quality health system.

A well-educated and highly skilled workforce is essential to achieving universal and equitable access to health care.

Licensing: Oversight by licensing boards ensures compliance with professional standards.

Residential care setting is an umbrella term for many types of certified and licensed housing plus services options.

Ensuring the quality of services for home care is difficult. No quality measures can assess every service delivered daily in hundreds of thousands of private homes across the country.

In 2021, an estimated 58.7 million adults age 18 and older in the U.S. had a mental illness. That is 22.8 percent of all adults. Prevalence among those over age 50 is 15 percent. 

The care provided in long-term services and supports (LTSS) settings is only as good as the personnel who provide it.

The primary source of public financing for long-term services and supports (LTSS) is the joint federal and state Medicaid program.

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).