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The Balancing Incentive Program provided financial incentives to States to increase access to non-institutional long-term services and support (LTSS) and authorized grants to serve more people in home and community-based settings, from October 1, 2011 to September 30, 2015. The Balancing Incentive Program helped States transform their long-term care systems by:

Establishing No Wrong Door Systems for people to obtain information on Medicaid LTSS

Utilizing core standardized assessment instruments to streamline access to LTSS

Implementing conflict-free case management by ensuring proper firewalls and mitigation strategies are in place to enable access to quality LTSS

The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 63,300 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2015. The goals of this program are to:

Increase the use of home and community-based services (HCBS) and reduce the use of institutionally-based services

Eliminate barriers in State law, State Medicaid plans, and State budgets that restrict the use of Medicaid funds to let people get long-term care in the settings of their choice

Strengthen the ability of Medicaid programs to provide HCBS to people who choose to transition out of institutions

Put procedures in place to provide quality assurance and improvement of HCBS