LTSS, which stands for Long-term Services and Supports, are the services and support to help people living with a disability or chronic illness with their daily living needs so they are able to remain active in the community. Medicaid covers these services based on the needs of each person. Services can be delivered through home- and community-based services, a nursing home or other similar settings.
An assessment is required by each state to determine which Activities of Daily Living (ADLs) individuals need assistance with. This assessment may be done by a state worker or by a qualified individual that is contracted by the state. Once the assessment is completed, an appropriate setting for care is determined by the assessment and then chosen by the individual and any health care decision makers in their life.
A separate assessment may also be done to determine a person’s ability to complete Instrumental Activities of Daily Living (IADLs). After this assessment is completed, an individual would then select and hire a personal care attendant or company to help them complete these tasks in a home- or community- based setting.