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Long-term services and supports (LTSS) refers to care provided to individuals with functional limitations and chronic illness who need help completing activities of daily living. Activities of daily living refers to activities such as bathing, dressing, preparing meals, and administering medication. The majority of LTSS is provided through Medicaid. Managed long-term services and supports (MLTSS) provides institutional care and/or HCBS through at-risk private managed care organizations. Historically these services, in particular HCBS, have been provided through the fee-for-service delivery system. States have begun to move to managed LTSS in an effort to control cost . . .
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