Long-Term Services and Supports (LTSS) are designed to be delivered in which setting?

• A. In hospital inpatient units.
• B. In skilled nursing facilities only.
• C. In outpatient clinics.
• D. In people's homes, avoiding institutionalization.

Answer: (D)

Long-Term Services and Supports are designed to help people with chronic or disabling needs live as independently as possible in their own homes and communities, rather than in hospitals or long-term care facilities. These services—such as personal care, homemaker help, home health aides, and community-based programs—support daily living and ongoing functioning in familiar settings. The goal is to avoid or delay institutional care and keep individuals connected to their homes and community life. In contrast, hospital inpatient units and skilled nursing facilities are more about acute or highly structured institutional care, while outpatient clinics focus on medical visits rather than the broader daily living supports LTSS provides.