National Core Indicators—Aging and Disabilities (NCI-AD™) is a survey and report run collaboratively by two organizations focused on helping states develop innovative service systems: ADvancing States and the Human Services Research Institute. This report is the most comprehensive and representative assessment of self-reported outcomes older adults and people with physical disabilities receiving publicly funded Long Term Services and Supports (LTSS)since 2018. Through NCI-AD, states get a sense for how their LTSS programs are doing—specifically those serving older adults and people with disabilities. And they can decide when and where quality improvement is needed.  Due to the COVID-19 pandemic, the 2019-2020 Adult Consumer Survey (ACS) data collection period was unexpectedly abbreviated.  Fifteen states collected data in the 2021-2022  cycle of the NCI- AD Adult Consumer Survey.