The Long-Term Services and Supports (LTSS) State Scorecard—a compilation of state data and analysis—showcases measures of state performance for creating a high-quality system of care in order to drive progress toward improvement in services for older adults and people with physical disabilities, and their family caregivers. The focus is on state-level data because our country does not have a single national system to address LTSS needs.

LTSS consist of a broad range of day-to-day help needed by people with long-term conditions, disabilities, or frailty. This can include personal care (bathing, dressing, toileting); complex care (medications, wound care); help with housekeeping, transportation, paying bills, and meals; and other ongoing social services. 

LTSS may be provided in the home, in assisted living and other supportive housing settings, in nursing facilities, and in integrated settings such as those that provide both health care and supportive services. LTSS also include supportive services provided to family members and other unpaid caregivers.

Per Orion Bell, President & CEO at CICOA Aging & In-Home Solutions, "more than 80 percent of Indiana’s spending for long-term supportive services is for institutional care. Only 28 percent of Medicaid-eligible recipients of long-term care services first receive those services in the home."

"Improving long-term supportive services is ultimately a community challenge. It will take a coordinated effort among all stakeholders to do it. Older adults, people with disabilities, family caregivers, service providers, advocates and public officials should see the latest LTSS Scorecard not as a sign of failure, but as a call to action. We know we can do better.  And, there’s nowhere to go but up."

Link to report →