Long-Term Care Systems Change

Like other states, Louisiana has begun efforts to “rebalance” the state’s long-term care systems to provide greater access to non-institutional, home and community-based alternatives with a goal of assisting people to remain a part of their communities.

Long- term supports and services, or long-term care, consists of the following services:

  • Institutionally-based services (e.g, nursing homes and intermediate care facilities)
  • Services in alternative residential and community settings (e.g., assisted living)
  • Personal supports and services provided to people in their homes

Population aging and the large amount of Medicaid dollars already going toward long-term care services encouraged both the federal government and states to rethink the way long-term care systems have traditionally worked.

Learn more about Louisiana's work to transition elements of the Louisiana Rehabilitation Services program from Louisiana Department of Children & Family Services to LDH and the Louisiana Workforce Commission.

Louisiana's Plan for Choice

Through leadership from the LDH Office of Aging and Adult Services, the state has put forth a comprehensive plan to reform how long-term care services are delivered. These services include:

  • Support services for the elderly and people who acquire a disability in adulthood
  • Support services for children and adults who have developmental disabilities
  • Educational services
  • Vocational services
  • Workforce development
  • Housing
  • Transportation
  • Long-term care planning and insurance
  • Decision-making / guardianship
  • Quality management
  • Information Technology
  • Licensing

See Louisiana's Plan for Choice in Long-Term Care