Long Term Services and Supports (LTSS) Long Term Services and Supports (LTSS) serves people who have disabilities or chronic care needs in the setting ideal for them and their families. Services may be episodic or on-going. Services may be provided in a person's home, the community (for example, shared living or assisted living), or institutional settings (for example, intermediate care facilities, hospitals, or nursing homes) to optimize their health and retain their independence. Medicaid LTSS Eligibility & How to Apply Levels of Care & Covered Services Choosing the Right Setting Resources SSI Enhanced Assisted Living Program The Supplemental Security Income (SSI) Enhanced Assisted Living Program is a state and federal program for adults over age 65 and adults with disabilities. Eligibility, how to apply and helpful forms can be found here.