In 2014, over 13 million adults required assistance fulfilling everyday tasks ranging from food preparation to personal hygiene to prescription management; these services may have been provided in a home or community setting or in an institutional setting such as a nursing home. While many of these individuals are suffering the effects of advancing age, around six million of the individuals utilizing LTSS services to manage daily tasks are under the age of 65 and live with some form of intellectual or developmental disability (I/DD), severe chronic illness, or other physical impairment. 

Medicaid, the primary payer for LTSS services in the United States, spent $112 billion on LTSS services in 2015, which was over 20% of their total spend for that year.”

Sources: https://eccoviasolurions.com/why-mltss-and-hcbs-are-better-together and https://www.medicaid.gov/medicaid/ltss/index.html

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