Similar to most developed cities，Macao SAR government has already devoted tremendous attention and efforts in long term elderly care in recent years. Still，it faces more challenges in the future，and is based on the concept of demographic windows. The government has around a decade to prepare for more ageing issues. Elderly policies can be divided into various areas，like pension，health care system，volunteering，and long term care services. This paper is focused on these issues regarding long term care. It will also introduce some western experiences such as the Care Management Model，Clinical Practice Guidelines，and Resource Utilization Grouping.