; or (2) requires a similar need of assistance in performing instrumental activities of daily living due to cognitive or other impairments. (b) Eligibility The Secretary shall promulgate rules that provide for the following: (1) The determination of individual eligibility for long-term services and supports under this section. (2) The assessment of the long-term services and supports needed for eligible individuals. (c) Services and supports Long-term services and supports under this section shall be tailored to an individual’s needs, as determined through assessment, and shall be defined by the Secretary to— (1) include any long-term nursing services for the enrollee, whether provided in an institution or in a home and community-based setting; (2) provide coverage for a broad spectrum of long-term services and supports, including for home and community-based services and other care provided through non-institutional settings; (3) provide coverage that meets the physical, mental, and social needs of recipients while allowing recipients their maximum possible autonomy and their maximum possible civic, social, and economic participation; (4) prioritize delivery of long-term services and supports through home and community-based services over institutionalization; (5) unless an individual elects otherwise, ensure that recipients will receive home and community based long-term services and supports (as defined in subsection (f)(4)), regardless of the individuals’s type or level of disability, service need, or age; (6) be provided with the goal of enabling persons with disabilities to receive services in the least restrictive and most integrated setting appropriate to the individual’s needs; (7) be provided in such a manner that allows persons with disabilities to maintain their independence, self-determination, and dignity; (8) provide long-term services and supports that are of equal quality and equally accessible across geographic regions