The Ohio Department of Medicaid recently announced that its work to rebalance spending on long-term services and supports in favor of home- and community-based services has hit an important milestone one year ahead of schedule. 

In June 2013, Ohio was awarded $169 million in additional federal Medicaid matching funds as a result of the state’s commitment to increase access to non-institutional long-term services and supports.  The federal Balancing Incentive Program (BIP) rewards states that direct at least 50% of Medicaid spending on long-term services and supports to home- and community based services, instead of nursing homes and other institutions.  To be eligible for federal funding, BIP also requires that participating states implement structural changes, including a no wrong door/single entry point system, conflict-free case management, and core standardized assessment instruments.

On September 10, 2014 – one year ahead of its September 30, 2015, deadline – the state announced that it surpassed the 50% spending target for home- and community-based services.  This is down from 61% just two years ago.