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purposes of this document, the term means long-term care hospitals and treatment facilities (LTHR), intermediate care facilities for persons with intellectual disabilities (ICF/ID), and nursing facilities (NF). 13. "Integrated eligibility system" or "IES" means the State’s health and human services computer eligibility system – known as RI Bridges – which processes applications for Medicaid as well as for the programs and services administered by the DHS. 14. "Long-term services and supports" or "LTSS" means a spectrum of services covered by the Medicaid program for people with functional impairments and/or chronic illness that provide assistance with activities of daily living (such as eating, bathing, and dressing) and instrumental activities of daily living (such as preparing meals, managing medication, and housekeeping). 15. "LTSS specialist" means a State agency representative responsible for determining eligibility for long-term services and supports, authorizing services, and/or providing assistance to people in navigating the Medicaid health care system. 16. "Needs-based criteria" means the basis for determinations of functional/ clinical eligibility for Medicaid LTSS including medical, social, functional and behavioral factors, and the availability of family support and financial resources. 17. "Supplemental forms" means the additional forms all LTSS applicants are required to complete. 18. "Types of LTSS" means the two forms of LTSS authorized under federal law and the State’s Medicaid State Plan and Section 1115 waiver: Medicaid LTSS in health care institutions (NFs, ICF/IDs, and LTHR) and Medicaid home and community-based LTSS. 4.4 Summary of LTSS Eligibility Determination Process A. Eligibility Factors. Evaluations of all applications for Medicaid LTSS are based on eligibility requirements or factors that fall into the following three categories: 1. General Eligibility Factors – Residency, citizenship and immigration status, third-party health coverage, age, health coverage, marital status, dependents (§ 40-05-1.9 of this Title). 2. Financial Eligibility Factors – Varies by eligibility pathway and the method for determining income eligibility in accordance with Part 40-00-3 of this Title.