Long Term Services And Supports (LTSS) In Medicaid

posted by AHIP

on August 28, 2019

What are Long Term Services and Supports?

In Medicaid, long term services and supports (LTSS) refers to the services and supports received by Medicaid enrollees of all ages that help them with functional limitations and/or chronic illnesses, and assistance in performing routine activities of daily living (ADLs) like bathing, grooming, dressing, meal preparation, eating, and medication assistance.1 Services can be provided in a range of settings, including nursing homes, assisted living facilities, convalescent homes, and home and community-based settings.

In 2016, combined federal and state Medicaid expenditures for LTSS were $167 billion – approximately 30 percent of total Medicaid spending. Of total LTSS expenditures, over $95 billion (57 percent) was spent on home and community-based services (HCBS).2 Each year, millions of Medicaid enrollees of all ages utilize the full spectrum of LTSS, from nursing home care to home-based services. It’s important to note that medical care and LTSS are very different. LTSS is not curative care; it is a combination of supports and services that help people carry out their daily activities.

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