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States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan.

Many chronic illnesses and other health conditions—such as heart disease, cancer, multiple sclerosis, arthritis, diabetes, and emphysema—can result in functional limitations

Federal and state governments should develop comprehensive, coordinated approaches to financing and delivering care to individuals whose needs are currently met through mult

Many states are enrolling MedicaidA joint federal/state program that pro

No person should be enrolled in a MedicaidA joint federal/state program

Government and providers of long-term services and supportsLTSS encompas

States should enact licensing or comparable certification requirements for all long-term services and supports

Enforcement should include swift and meaningful penalties for substandard care.

States should fund sufficient quality monitors to inspect all providers at least annually.

States should provide effective complaint systems with prompt resolution.