Creates a new State Balancing Incentive Payments program for qualifying states to offer Medicaid HCBS as a long-term care alternative to nursing homes. Participating states are eligible for up to a 5% increase in their applicable FMAP (or 2% in certain cases) over the FY 2012 through FY 2015 period.
Delineates target spending percentages for the state to achieve by October 1, 2015 depending on the proportion of the state’s total expenditures for long-term services and supports under the Medicaid program are for HCBS. Sets forth certain maintenance of effort (MOE) requirements relative to assuring that states do not impose more restrictive Medicaid eligibility standards, methodologies, or procedures for non-institutionally-based long-term services and supports than those otherwise in effect on December 31, 2010. Provides that participating states implement within six months of its submission of an application under this section a “no wrong door/single point of entry” statewide eligibility system to ensure that individuals have access to all long-term services and supports in a centralized manner.