Geographic-focused collaborations to co-design new models of community-based long-term services and supports that: 

• are rooted in person-directed culture principles

• feature small houses and/or community-based household models, together with other providers (e.g., home care), to serve those who have a low level of care needs through skilled nursing care.

• offer to serve as exemplar sites for local direct care professional workforce development innovation

• seamlessly organize and deliver a continuum of care that includes low- and moderate-income adults of all ages and abilities living in the area/neighborhood

• demonstrate how to align varying operations and payment models of existing housing and LTSS providers and payers (e.g., Area Agencies on Aging, Programs of All-Inclusive Care for the Elderly -PACE, small houses, community health centers and Medicaid home care programs for older adults and those living with physical, intellectual and/or developmental disabilities)

  photo credit: Nate Smallwood