Long-Term Services and Supports Principles – Summary
Publication #1034 – Adopted April 5, 2012; Reviewed 6/21/14
- Consumer-Driven Services
LTSS services must be consumer-driven and promote consumer
- Consumer-Driven Systems
LTSS service delivery systems must be consumer-driven and
promote consumer participation.
- No Wrong Door / Single Point of Entry
There must be easy access to services and supports through a
No Wrong Door / Single Point of Entry (NWD/SPE) system.
- Core Standardized Assessment Process
A core standardized assessment (CSA) process must be used for
determining functional eligibility for all LTSS services.
- Individual Service Plan
An individual service plan must be developed with significant
consumer direction and involvement following the core standardized
- Personal Services Coordination (Targeted Case Management)
Effective personal services coordination (targeted case management
or TCM) and effective coordination with other resources must be
available for beneficiaries who want or need these services.
- Comprehensive LTSS Benefits Package
There must be a comprehensive LTSS benefits package which
ensures access to community-based long-term services and
supports throughout the state.
- Consumer Protections
Adequate consumer protections including availability of a single due
process system for all long-term care services and supports
regardless of funding source must be provided.
- Access to Independent (Conflict-of-Interest-Free) Ombudsman/Advocate
- Financial Incentives
Financial incentives must be designed to maximize provision of home
and community-based services and non-institutional care.
Administration of LTSS programs must be done in a manner that
protects consumers’ rights at all stages of the process, improves
access to services, and promotes delivery of quality services.
- Robust State Monitoring and Data Collection
The State must establish standards for, and monitor, quality
measures that assess the impact of current programs and new
service delivery innovations.