Speed Balancing Incentive Program Automation to Capture Increased FMAP

Meets All Structural Requirements of Medicaid’s Balancing Incentives Payment Program

The Balancing Incentives Payment Program (BIP) was established to help states increase the availability of long-term supports and services where less than 50 percent of Medicaid long-term care spending is on non-institutional care. The program’s goal is to enable states to adopt strategies that will effectively rebalance long-term care by providing either a two or five percentage point increase in their federal match (FMAP) for Medicaid home- and community-based services costs.

To qualify, states must make three structural changes to their approach in delivering long-term supports and services:

  • Establish a "No Wrong Door—Single Entry Point System" that creates a statewide system of access for long-term care information
  • Adopt conflict-free case management
  • Apply core standardized assessment instruments to determine eligibility for non-institutional services and supports used in a uniform manner throughout the state

Accelerate Your Rebalancing Efforts

Harmony for Balancing Incentives enables states to more effectively rebalance long-term services and supports improving consumer satisfaction and outcomes while simultaneously reducing the per consumer cost to the state. By using Harmony for BIP, states are able more efficiently collect, assess, and act on information that is vital to the administration and delivery of long-term services and supports for consumers.

Learn more about using Harmony for Balancing Incentives.