Disability Support & Long Term Care Services

Disability and long-term care refers to institutional and community-based care that support individuals with activities of daily living and services related to age or disability. Over the past decade, there has been an increase in the changes and challenges affecting the disability support and long-term care market markets—the move to managed care and subsequently value-based care, the shift to home- and community-based care, the increase in the aging population, and new workforce challenges.

Latest Resources

• More Medicaid Beneficiaries With LTSS Needs Accessed HCBS Than Institutional Care In 2021
• Washington Seeks Contractors To Manage Community Assistance Network Services For WA Cares Public Long-Term Care Benefits
• Employment Of Workers With Disabilities Under Section 14(c) Of The Fair Labor Standards Act; Withdrawal
• Enrolled Nevada Senate Bill 207
• St. Croix Hospice To Acquire Mayo Clinic Health System Hospice Operations In Northwest & Southwest Wisconsin 
• NCDHHS & Trillium Health Resources Invest $3.9 Million To Launch Year-Round Respite Program At Victory Junction
• California, Florida & Pennsylvania Lead The Nation In Assisted Living Capacity
• 24% Of Adults Provided Ongoing Unpaid Care For Someone With A Complex Medical Condition Or Disability In The Past Year
• DOL Proposes Rolling Back Minimum Wage, Overtime Rules For Hospice, Home Health Aides
• Enrolled Hawaii House Bill 320 (ACT 284): Relating To Supported Decision-Making Agreements
• Proposed Rule: Application Of The Fair Labor Standards Act To Domestic Service
• Spending & Utilization For Medicaid Home- & Community-Based Services
• Trillium & Integrated Family Services Expanding Mobile Crisis Management In Guilford County, North Carolina 
• Northern Hospital District Acquires Hospice Of Surry County, North Carolina 
• Medicare Proposes Cuts In 2026 Aggregate Home Health Payments & Temporary Reductions To Recoup Patient-Driven Groupings Model Overpayments

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Maine To Eliminate Planned Use Of Restraints For Adults With Developmental Disabilities 

On June 12, 2025, Maine Governor Janet Mills signed legislation to eliminate the planned use of safety devices or restraints for adults with developmental disabilities. The practice calls for an individual to be restrained in certain circumstances to prevent harm to the individual or others, as indicated in an individual’s behavior management plan. The plans are developed by educational, vocational, residential, or community agencies. The unplanned, short-term use of safety devices or restraints in emergencies… Read

• Proposed Rule: Medicare Calendar Year 2026 Home Health Prospective Payment System
• 90% Of Americans Anticipate Increased Need For Specialized Caregivers As Lifespans Increase 
• One In Six Older Adults Received Services In 2023 Under The Older Americans Act  
• Iowa Launches New Behavioral Health & Disability Services System With Centralized Navigation, Standardized Rates
• Antipsychotic Discontinuation Linked To Lower Rehospitalization In Older Adults After Acute Hospitalization

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