“Innovations in the Balancing Incentive Program: New Jersey”

New Jersey

~~“In an effort to learn more about how states are transforming their LTSS systems under the Balancing Incentive Program, CMS and its technical assistance provider, Mission Analytics, selected five Program states that implemented structural changes successfully and used Program funds innovatively to expand access to community LTSS. In the spring of 2016, Mission Analytics conducted site visits to these states, interviewing key state staff and stakeholders, and developed case studies based on findings.

This case study focuses on the launch of New Jersey’s MLTSS program, which was supported by the Balancing Incentive Program. New Jersey spent 70% of the enhanced FMAP earned through the Program on the expanded services offered under MLTSS. These funds were directed to new individuals receiving services, additional services provided to new and existing community LTSS users, and enhanced care management offered through Managed Care Organizations (MCOs). Since the launch of MLTSS in July 2014, almost 6,000 more people have accessed community LTSS. In addition, MCOs offer expanded care management to their enrollees, connecting individuals to providers and coordinating acute and long-term care. The Balancing Incentive Program provided New Jersey with a crucial source of revenue, helping the state fund these expansions during MLTSS’ first two years.”

State Policies & Initiatives: 
Systems-Change Funding
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: