Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

Centers for Medicare & Medicaid Services
April 2019

This report provides a national overview of long-term services and supports (LTSS) rebalancing and highlights 10 states – Missouri, Massachusetts, New York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada, and Arkansas – that have made the greatest progress in decreasing institutional spending. The profiles include state characteristics (e.g., LTSS spending per state resident, participation in rebalancing initiatives, etc.) and strategies states utilized in their progress towards rebalancing their LTSS systems.