Pennsylvania is making major changes to the delivery of long term care. The changes will impact all those who are eligible for both Medicare and Medicaid (dual-eligible) as well as those who are considered Nursing Facility Clinically Eligible (NFCE) and are receiving services in their homes or in a nursing facility. CARIE created a MLTSS consumer fact sheet to help educate older adults about some of the changes and how they can participate in the planning process. Please help us educate consumers and their caregivers by distributing this flyer. CARIE wishes to extend a special thank you to two Bridging the Gaps medical student interns at CARIE this summer, Shivani Kapur and Khelly Shah, for their help in developing the flyer.