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Medicaid nursing facility payment approaches to advance health equity and improve health outcomes

Millions of Americans, including children, non-elderly adults, and older adults, need long-term
services and supports (LTSS) because of disabling conditions, chronic illness, and other factors.
Medicaid, which is the primary payer across the nation for these services, allows for the
coverage of LTSS through several authorities and programs and over a continuum of settings—
ranging from institutional care, such as in nursing facilities, to home and community-based
services (HCBS).

Download the Guidance Document

Final

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

Issue Date: August 22, 2022

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.