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Balancing Incentives Approved
June 24, 2014

In April the Departments of Public Welfare and Aging collaborated in an application to the Centers for Medicare and Medicaid Services titled “Balancing Incentive Program (BIP).” The purpose of this project is to rebalance long-term supports and services by expanding access to home and community-based services. Pennsylvania has been approved for this program which will provide $94 million in additional federal funding. The enhanced funding begins July 1 and continues until September 30, 2015.

BIP will offer a “no wrong door” design as an entry point for individuals in services and use standardized assessments and conflict-free case management. Funding will allow:

  • An additional 1,764 older adults to be served through the aging waiver;
  • An additional 1,599 individuals with physical disabilities to be served in home and community supports;
  • Seven hundred special education graduates with intellectual disability to receive community services;
  • Four hundred individuals on the emergency waiting list to be served in their homes and communities; and
  • One hundred adults with autism spectrum disorders to be served in the autism waiver program.

The two departments will work together to develop a web page with information on all Medicaid community-based supports for older adults, those with physical disabilities, intellectual and developmental disabilities, autism and serious mental illness; an information and referral tool to identify programs to provide needed supports; and a process to improve the length of time to determine eligibility for Medicaid long-term supports.

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