Population aging changes in disease patterns and extended life expectancy now is common in Taiwan. As the elderly accounted for 15.05% of the total population, Taiwan has officially become an aged society since 2018. It presumably will become a super-aged country in 2026.How to provide adequate multidisciplinary health care has become an immediate issue. A local community integrative long-term care service center (Class A Unit) was established in July 2018 by our hospital following national policy. A multidisciplinary team linked to local long-term care resource network along with exclusive case management is provided to evaluate the needs of the public for them to access to integrative services. Methods: According to the Class Measurement Scale  by the Ministry of Health and Welfare, disabled subjects within CMS 2-8 tiers were the primary population for multidisciplinary long-term care services. The healthcare measures included: 1. Individualized care plan based on the actual needs of the case and the caregiver via on-site interview; 2. Individualized long-term care resource referral; 3. Service quality and efficacy assurance based on service satisfaction surveys, monthly phone calls and regular on-site follow-up; and 4. Expanded long-term service capacity among communities through the proper announcement. Results: After cooperation between interdisciplinary teamwork intervention and case management implementation, the results indicated that among 526 long-term care cases in 2019, monthly new enrollment was approximately 35 cases. The usage rate of long-term care services was increased, including home-based care (76%), transportation assistance (37%), respite services (55%), assistive devices (37%), and accessible environment (14%). In addition, total of 34 dementia referrals, 174 home-based rehabilitation cases, 14 home-based medical care services, 5home-based hospice care services, and 22 chewing and swallowing training services completed in 2019, resulting in an averagely 81% of the satisfactory rate in terms of all long-term care services. Conclusion: The combination of case management coordination, well-connected community services (between hospitals, rehabilitation facilities, social welfare resources and long-term care services), and home-based cooperation between interdisciplinary teamwork provided by a local community integrative center significantly facilitate the accessibility, visibility, availability and popularity of long-term care resources.