The report examines findings of the third annual survey of LTSS systems across 49 states and the District of Columbia, highlighting transformations and reforms that are underway and trends across the country.
- States are actively exploring ways to better serve individuals with ongoing health care and support needs;
- More states are increasing participation in HCBS options within the Affordable Care Act as well as initiatives for individuals who are dually eligible for Medicaid and Medicare;
- There is increased demand for non-Medicaid services, including Adult Protective Services, as the caseload for adult protective services – for victims of abuse or exploitation – has increased in the last two years without increased funding in many states;
- State policymakers are committed to advancing a national dialogue for how to best address the increasing demand for services.