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The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. LDH serves as a model employer for individuals with disabilities. The Office of Aging and Adult Services (OAAS) was formed within the Louisiana Department of Health (LDH) as a healthcare reform initiative, bringing together long-term support and service programs located within LDH that serve the elderly and people with adult-onset disabilities. OAAS aims to develop, provide, and enhance services that offer meaningful choices for people in need of long-term care. The office is committed to developing a long-term care system that provides choice, ensures quality, and meets the needs of consumers and caregivers in a fiscally responsible manner. OAAS has an annual administrative budget of approximately $70 million and provides services to approximately 30,000 participants through several large and complex Medicaid programs whose budgets total approximately $1.3 billion annually.