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Long-Term Services and Supports Principles – Summary

Publication #1034 – Adopted April 5, 2012; Reviewed 6/21/14

  1. Consumer-Driven Services
    LTSS services must be consumer-driven and promote consumer
  2. Consumer-Driven Systems
    LTSS service delivery systems must be consumer-driven and
    promote consumer participation.
  3. 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.
  4. Core Standardized Assessment Process
    A core standardized assessment (CSA) process must be used for
    determining functional eligibility for all LTSS services.
  5. Individual Service Plan
    An individual service plan must be developed with significant
    consumer direction and involvement following the core standardized
  6. 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.
  7. 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.
  8. 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.
  9. Access to Independent (Conflict-of-Interest-Free) Ombudsman/Advocate
  10. Financial Incentives
    Financial incentives must be designed to maximize provision of home
    and community-based services and non-institutional care.
  11. Administration
    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.
  12. 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.