Medicaid is the primary payer across the nation for long term care services medicaid allows for the coverage of these services through several vehicles and over a continuum of settings ranging from institutional care to community based long term services and supports ltss. Medicaid plays a key role in covering long term services and supports ltss to aged and disabled individuals. Medicaid coverage of long term services and supports congressional research service summary long term services and supports ltss refer to a broad range of health and health related services and supports needed by individuals who lack the capacity for self care due to a physical cognitive or mental disability or condition often the individuals disability or condition results in the need . Medicaid is the nations major publicly financed health insurance program covering the acute and long term services and supports ltss needs of millions of low income americans of all ages
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