Medicaid: States' Plans to Pursue New and Revised Options for Home- and Community-Based Services: GAO-12-649 (Paperback) (ISBN-13: 9781287206637)

The four Medicaid options for home- and community-based services (HCBS) included in the Patient Protection and Affordable Care Act (PPACA) provide states with new incentives and flexibilities to help increase the availability of services for Medicaid beneficiaries. Two of the options were newly created by PPACA, and the other two were existing options amended by the law. Three of the options provide states with financial incentives in the form of enhancements to the Medicaid matching rate that determines the federal share of the program's costs.

As of April 2012, 13 states had applied for and received Money Follows the Person grants, in addition to the 30 states and the District of Columbia that had received grants prior to PPACA, and states were beginning to apply for the other three options. The 13 new Money Follows the Person states were awarded $621 million and were in various stages of implementation. One state had applied for Community First Choice. Two states had received approval to participate in the Balancing Incentive Program, and the Centers for Medicare & Medicaid Services (CMS) was reviewing two additional state applications. Three states had received approval to offer the revised1915(i) state plan option since PPACA's enactment.


Author: U. S. Government Accountability Office (
ISBN-10: 1287206638
ISBN-13: 9781287206637
Publisher: Bibliogov
Language: English
Published: 05/16/2013
Pages: 52
Format: Paperback
Weight: 0.24lbs
Size: 9.69h x 7.44w x 0.11d