The policy brief examines changing patterns of Long-term services and supports (LTSS) use in Washington State, including client demographics, duration of use of Medicaid-paid LTSS services, and client transitions between LTSS service modalities. Compared to earlier cohorts, more clients are now starting their LTSS service experience receiving in-home care, rather than nursing facility services. Compared to earlier cohorts starting their LTSS service experience in home- and community-based services settings, fewer clients now transition to nursing facility care.
