The long-term services and support (LTSS) population refers to individuals with long-term conditions, disabilities, or chronic impairments that require routine assistance. Enrollment in LTSS falls into four broad categories—the elderly, the physically disabled, individuals with intellectual and developmental disabilities (I/DD), and dual eligibles (i.e., individuals who qualify for both Medicare and Medicaid). Most states are limited in how many individuals can be served in the community through the LTSS program, given the caps on the number of people who can receive 1915(c) waivers for home- and community-based services (HCBS) as an alternative to . . .

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