the social care components of ltc may be provided and remunerated as a package of services along with longterm nursing and personal care services if such services cannot be separately accounted for and are not the dominant component of the package they should be included under hc otherwise the complete package should be under hcrl longterm care social also excluded are services involving surveillance of persons with mental deficits such as dementia patients and medical assessment and services involving case management and coordination between medical and longterm health care which are also included under hc