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Workforce Initiative

As the primary funder of long-term services and supports (LTSS) under the Medicaid program, the Centers for Medicare & Medicaid Servicers (CMS) maintains a vital interest in the paid and informal direct service community workforce. In the past 10 years, CMS has committed substantial resources to improving the recruitment and retention of direct service workers (DSW) through its Real Choice Systems Change grants, Direct Care Community Workforce Demonstration grants and national evaluations of them, and the National Direct Service Workforce Resource Center. The Direct Service Workforce Resource Center, under the guidance of CMS, developed many resources related to workforce development including: