The National Core Indicators – Aging and Disabilities (NCI-AD™) 2024–2025 National Report has been released. For the last ten years, NCI-AD has partnered with states to gather data on the experiences of people using long-term services and supports across the US.
Pennsylvania does not currently participate in the data gathering for this report. However, the same key areas are included in the CAHPS survey, which will be reviewed by the CHC-MCOs at the PD&A meeting on 5/14/2026. Several of the opportunities for improvement will also be evident in the presentations.
The 2024–25 NCI-AD survey included more than 20,000 individuals across 24 states receiving services through HCBS waivers, nursing facilities, PACE, and Older Americans Act programs. Overall, the findings reflect strong access to community supports and healthcare, while also highlighting ongoing workforce and service gaps.
Approximately 68% of respondents said they participate in preferred activities as much as they want, 92% reported reliable transportation to medical appointments, and 73% said they consistently have transportation for community activities. Nearly all respondents (95%) reported being able to connect with friends and family when desired, although 17% still reported frequent loneliness. Access to healthy food, mental health services, and annual wellness visits remained high at roughly 87%–89%, yet only 14% described their overall health as excellent or very good.
The survey also underscored the growing reliance on family caregivers within LTSS. About 40% of respondents identified a paid family member or friend as their primary support person, while 22% reported frequent staff turnover. Although 89% said services help them live the life they want, only 72% felt their services fully met their goals and needs. Among individuals reporting unmet needs, just 55% said their case manager discussed additional service options with them.
Since 2016, states have used NCI-AD data to evaluate aging and disability systems, identify quality improvement opportunities, and support policy discussions related to Medicaid and long-term services and supports.
To access the report, use this link:
Reports | NCI-AD (National Core Indicators-Aging and Disabilities). If you have any questions, please contact
Fady Sahhar.
