How the Affordable Care Act Can Help Move States Toward a High-Performing System of Long-Term Services and Supports - The Commonwealth Fund

How the Affordable Care Act Can Help

The Affordable Care Act offers states several incentives and programs to help reach these goals, including: 

  • the Community First Choice option, which increases the federal share of Medicaid costs for states that offer person-centered home and community-based services;
  • Money Follows the Person grants, which help people move out of institutions or avoid unwanted institutionalizations;
  • the “no wrong door” policy, which creates a single point of entry for services and eligibility; and
  • a new Medicaid option, featuring enhanced federal matching payments, to establish health homes (medical homes) for beneficiaries with chronic conditions.