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LTSS Information

Guidance for key topics for planning and implementing a community LTSS program, including LTSS models, state and federal relationships, planning, financing, and research.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 16, 2020

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This information library includes key topics for planning and implementing your LTSS program. Choose a topic below to find in-depth explanations and examples, helpful resources, and guidance on what you should do next.

 

Tribal Leaders

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Learn the basic concepts of LTSS in this section for tribal leaders or other community leaders. Find a toolkit with the educational materials you need to start the conversation about LTSS in your own community.

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Program Examples

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Tribes and urban Indian organizations have successfully started their own LTSS programs. Read program profiles or watch short videos to learn what worked for other communities and envision how you might use those strategies for your program.

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LTSS Models

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There are two main types of LTSS programs, and they each offer different options for tribal involvement and support. Learn more about each model so you can choose the best fit for your community.

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State and Federal Relationships

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Working with federal and state agencies is a big part of setting up a program that can become sustainable. This section provides guidance on creating those relationships and helps you find national, regional, and state resources and policies.

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Planning

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Visit the planning section for a step-by-step program planning roadmap. Plus, find guidance on expanding an existing program and conducting program evaluation.

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Financing

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Learn more about funding sources and how they work, and find budgeting guidance. Read about 100% FMAP, a funding scenario that is a win-win for your tribe and state.

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Research

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See fact sheets, reports, and videos that discuss specific LTSS needs or services, such as elder abuse prevention, respite care, and hospice and palliative care.

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IHS, Tribal, and Urban LTSS Programs

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Use the interactive map on this page to find LTSS programs by state, region, or ZIP code. You can view individual program information, including points of contact, tribal affiliates, and services offered.

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HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.