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What are No Wrong Door (NWD) Systems?

Many individuals and their families find locating and accessing the right long term services and supports (LTSS) a daunting task. Individuals frequently find themselves confronted with a bewildering maze of organizations and bureaucratic requirements often during a crisis. This can lead to decisions to purchase less optimal and more expensive than necessary LTSS options, including decisions to use nursing facility care that can quickly result in exhausting an individual's financial resources. The No Wrong Door (NWD) System, including Aging and Disability Resource Centers (ADRC), represents a collaborative effort of the U.S. Administration for Community Living (ACL), the Centers for Medicare & Medicaid Services (CMS), and the Veterans Health Administration (VHA), to support state efforts to streamline access to LTSS options for all populations and all payers. In a "No Wrong Door" entry system, multiple agencies retain responsibility for their respective services while coordinating with each other to integrate access to those services through a single, standardized entry process administered and overseen by a coordinating entity. A No Wrong Door System can provide information and assistance to individuals needing either public or private resources, professionals seeking assistance on behalf of their clients, and individuals planning for their future long term care needs.

Key Innovation Programs

This schematic outlines the different functions of the No Wrong Door System, including Public Outreach and Coordination with Key Referral Sources, Person Centered Counseling, Streamlined Eligibility to Public Programs, and State Governance and Administration.