Massachusetts has a lengthy history of supporting the long-term care needs of elders and people with disabilities across the lifespan. The Patrick Administration’s long-term care policy is community first, an approach that emphasizes maximizing independence in home and community settings while assuring access to needed institutional care. This fact sheet provides a snapshot of the current state of long-term care supports (LTS) in the Commonwealth, including information about the populations who use LTS, projected changes in the demand for and cost of these services, and trends in utilization and payer mix. Data in this arena is unevenly available across populations and service components. To the extent possible, population-based and relevant national indicators are used. The fact sheet and additional qualifying information about data sources and supporting research documents can be found at www.mass.gov/hhs/communityfirst.