LTSS Planning

Pre-Planning

If you are new to LTSS, prepare by learning the basics. Check out the LTSS Overview on what LTSS is and why it’s important. Consider what type of program is best for your community and how to finance it.

Learn about LTSS program types

There are two models for providing LTSS:

• Home- and community-based services (HCBS) are provided at a person's home or in a community setting
• Facility-based care is provided in a nursing home, assisted living residence, adult family home, or skilled nursing facility

HCBS is often the more affordable option and helps elders stay connected to family and community, while facility-based care may provide more comprehensive services in a secure living environment.

Be sure to plan for transitional care , which ensures continued services when patients move between a home-based care setting and a facility.

Learn about LTSS financing

Consider what types of funding are available and whether they are a good fit for your program. LTSS financing often comes from a variety of sources, and available funds depend on many factors, like what your state's Medicaid program covers.

In the LTSS Financing section, you can learn more about:

• Choosing the right funding sources
• Creating an LTSS budget
• Working with your state on funding options
• Educating your state about 100% FMAP
• Navigating the reimbursement process
• Applying for planning and development grants

Start Planning

After you've considered financing and program model options, it's time to start in-depth planning.

The LTSS Roadmap is a step-by-step planning guide for addressing LTSS needs in your community. The roadmap helps you determine next steps no matter where you are in the process.

Evaluation

Evaluation plays an important role in maintaining a successful program once you have planned and implemented it. Get detailed evaluation assistance to guide you in choosing the right evaluation approaches for your community.