IPHI Supports Stakeholder Engagement for the Balancing Incentives Program

The Illinois Public Health Institute is conducting stakeholder engagement to solicit feedback on impending changes to Illinois’ long-term services and support programs.

The federal Balancing Incentives Program (BIP) incentivizes states to increase access to non-institutional long-term services and supports (LTSS) through a short-term increase in Federal Matching Assistance Percentage (FMAP). The BIP also provides new ways to serve more people in home and community-based settings, in keeping with the integration mandate of the Americans with Disabilities Act, as required by the Olmstead decision.

BIP requires states to make three structural reforms to increase nursing home diversions and access to non-institutional LTSS:

  • A no wrong door/single entry point system
  • Conflict-free case management services
  • Core standardized assessment instruments.

Illinois’ BIP application was approved June 12, 2013, and the State will receive a 2% increase in FMAP through the BIP funding period.  States may only use the enhanced FMAP to provide new or expanded home and community-based LTSS.

The Illinois Framework for Healthcare and Human Services is working with the Department of Healthcare and Family Services BIP team, the Department of Human Services and the Department on Aging to create a draft version of a detailed system design.

The Framework is also assisting the BIP by providing stakeholder engagement resources through IPHI. IPHI is supporting HFS in conducting a series of meetings to solicit feedback from providers, clients, state employees, advocates and other constituents on functional assessment, No Wrong Door, and other federal requirements.

For additional information on the BIP, visit:  http://mfp.illinois.gov/bip.html.

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