Culturally Competent Long-Term Services And Supports (LTSS)

Long-term services and supports (LTSS) are critically important care for the many dually eligible beneficiaries who need help with routine activities. Individuals from racial and ethnic minority groups often experience disparities in access, quality, and outcomes in LTSS, such as higher rates of rehospitalization when they receive home health care[1] and lower quality of care in nursing homes[2]. These resources highlight strategies for providers and plans to ensure LTSS meet beneficiaries’ cultural and linguistic needs and preferences. 

Webinar: Providing Culturally Competent Care: Meeting the LTSS Needs of Dually Eligible Beneficiaries 

Resource Compendium: Culturally Competent LTSS 

Resource Compendium: LGBT Cultural Competence in LTSS 

Spotlight on Keiro Northwest: Culturally Competent LTSS 

Building A Culturally Competent Direct Care Workforce

Direct care workers provide critical services to many dually eligible beneficiaries, assisting with bathing, eating, dressing, and other daily tasks. Explore these resources to learn more about supporting a diverse direct care workforce that can meet the cultural needs and preferences of dually eligible beneficiaries.

Webinar: Culturally Competent Direct Care: Meeting the LTSS Needs of Diverse Dually Eligible Beneficiaries 

Direct Care Workforce Brief: Organizational Cultural Competence  

Direct Care Workforce Brief: Training Culturally Competent Direct Care Workers 

Direct Care Workforce Brief: Recruiting and Retaining a Diverse Direct Care Workforce  

[1] Office of the Assistant Secretary for Planning and Evaluation. (2016). Report to Congress: Social Risk Factors and Performance under Medicare’s Value Based Purchasing Programs. Retrieved from
[2] Campbell, L. J., Cai, X., Gao, S., & Li, Y. (2016). Racial/Ethnic Disparities in Nursing Home Quality of Life Deficiencies, 2001 to 2011. Gerontology and Geriatric Medicine, 2, 23337214166653561.****************