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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.
All individuals with incomes at or below 100 percent of the poverty line ($14,580 per year in 2023) should be considered categorically eligible for Medicaid.
Look-back period: Congress should repeal the five-year look-back period for asset transfers and return to the previous 36-month look-back window.