Long-term services and supports (LTSS) provide daily assistance to millions of older adults and people with disabilities, and are also primarily paid for by Medicaid, which takes up a substantial portion of states’ budgets. Explore state strategies to both reduce costs and provide quality care for older adults and people with disabilities. Speakers include Gretchen Alkema, The SCAN Foundation, Curtis Cunningham, Wisconsin Department of Health Services and Representative Eileen Cody (D-Wash.)