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The term long-term services and supports (LTSS) refers to care provided to individuals with functional limitations and chronic illnesses who need help completing activities of daily living. Activities of daily living include activities such as bathing, dressing, preparing meals, and administering medication. Under a managed long-term services and supports (MLTSS) system, state Medicaid programs choose to finance and manage institutional care and/or home- and community-based services (HCBS) through at-risk managed care financing arrangements, rather than fee-for-service (FFS) financing arrangements.

Currently, there are 21 states with 26 Medicaid MLTSS programs. Overall, these programs serve . . .

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