Tipping the Balance: The Balancing Incentive Program and State Efforts to Re-balance their Long-Term Services and Supports

Tipping the Balance: The Balancing Incentive Program and State Efforts to Re-balance Their Long-Term Services and Supports, produced by Mathematica Policy Research, examines the progress Balancing Incentive Program states have made in increasing the share of their LTSS dollars spent on community-based services one year before the program end date. It contains an analysis of expenditure trends in participating states, including an exploration of trends in the use of specific service types in states that have been more successful in increasing the community-based share of LTSS expenditures. It also presents state perspectives on the factors that most contributed to their success in increasing the community-based share of LTSS spending, with a focus on the contributions of the Balancing Incentive Program.