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Long-Term Services
& Supports

Preserving and Expanding Long-Term Services & Supports

Medicaid is the funder for most long-term care in the United States, whether at home, or in an institution. Through our advocacy and resources, we preserve and expand long-term services and supports that are non-institutional and person centered, and protect the rights of consumers in institutional settings.

Below advocates will find Issue Briefs, Fact Sheets, and other resources to help you connect older adults to LTSS, as well as advocacy tips and manuals to help you expand, improve, and protect LTSS in your own community.

Home and Community-Based Services

We focus our advocacy on building a health and long-term care system that helps people remain at home and in their communities as they age.

Nursing Facilities

Even the best nursing homes follow standard procedures that violate federal law and often harm residents. We fight for the rights of consumers and their families.

Managed Long-Term Services & Supports (MLTSS)

A growing number of states are proposing to place the responsibility for providing long-term services and supports (LTSS) to seniors and people with disabilities under managed care organizations (MCOs). These proposals offer both significant risk, and considerable opportunity. Strong beneficiary protections specific to the delivery of LTSS must be incorporated to ensure that states and MCOs develop models that best supports independence and the ability of beneficiaries to remain in or return to community settings.

Advocates Guide: Accessibility in Medicaid Managed Care Grievances and Appeals, June 2018

Chart: Medicaid Managed Care Regulations, 2016

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