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The Long-Term Services and Supports (LTSS) State Scorecard is a tool that measures long-term services and supports system performance at the state level. State and federal policy makers, providers, advocates and other stakeholders can use the Scorecard to assess areas of strength and identify opportunities for improvement within their respective state’s LTSS system. The Scorecard scores states across five dimensions of LTSS, comprised of 50 indicators. State performance across overall LTSS and within the five dimensions is ranked and organized into tiers, from better to worse performing, 1-5 from top to bottom.

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Suggested citation: 
Susan Reinhard, Rodney Harrell, Carrie Blakeway Amero, Brendan Flinn, Ari Houser, Paul Lingamfelter, Rita Choula, Selena Caldera, Edem Hado, and Julie Alexis. Long-Term Services and Supports State Scorecard: 2023 State Fact Sheets. Washington, DC: AARP Public Policy Institute, September, 28, 2023.