This Market Intelligence Report from the OPEN MINDS team discusses long-term services and supports (LTSS) for people with disabilities, which are paid for by Medicaid. Traditionally, these services have been provided in institutional settings, but a combination of cost pressures and consumer rights issues have caused states to look at how LTSS can be provided in the community. The most common vehicle to accomplish this is to offer LTSS as home- and community-based services (HCBS). Because HCBS are an optional state plan service, it is most often authorized by CMS through Medicaid waivers. There are three major types . . .

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