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DSS: Long‑term services spending increasing, about 70% now in home‑and‑community‑based services
Summary
Agency staff told the Appropriations panel that long‑term services and supports (LTSS) expenditures have grown year‑over‑year and that about 70% of LTSS spending now goes to home‑and‑community‑based services (HCBS). Officials cited shifting acuity in nursing homes and ICF rate rebasing as cost drivers.
Department of Social Services staff presented six years of LTSS spending and said the program has shifted toward home‑and‑community‑based services. DSS staff said roughly 70% of LTSS spending is now on HCBS, with the remaining share going to institutional settings such as nursing homes, intermediate care facilities (ICFs) and chronic disease…
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