According to the most recent data, an estimated 5.8 million people utilize home- and community-based long-term services and supports (LTSS).

Medicaid is the primary payer for LTSS. The U.S. spent over $400 billion on LTSS in 2020, nearly 10% of all health care expenditures. More than half of that spending went toward home- and community-based services (HCBS).