; or (2) requires a similar need of assistance in performing instrumental activities of daily living. (b) Eligibility An individual shall be eligible for services and supports described in this section if such individual has one or more medically determinable conditions described in subsection (a). (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