Joint Blog Released: How States are Leveraging Federal Dollars to Transform HCBS

NASDDDS is proud to release a joint blog with NAMD and ADvancing States taking a comprehensive look at state ARPA proposals and bringing to light potential next steps in this unprecedented time. In March 2021, the American Rescue Plan Act was signed into law, providing states with a temporary 10 percentage point increase in federal Medicaid matching funds for home- and community-based services (HCBS). These services – which range from personal care and respite for caregivers to job coaching and adult day programs – support the over 2.2 million Medicaid members who need assistance with everyday activities. Crucially, these services allow people to live safely in their homes and communities, instead of having to live in institutional settings like nursing homes.

After the passage of the American Rescue Plan, the federal government required states to submit “spending plans” outlining how they will use these new funds. From these spending plans, it’s clear that states want to use these investments to both strengthen existing home- and community-based services and launch broader system transformations to make support in the community more accessible, equitable, and person-centered.