–Federal Medicaid funds are to be increased by .5% for the years 2014 and 2015 for the state with the highest percentage of uninsured during 2009 and the State of Nebraska.
–A state that pays less than 50% of its long-term care costs in noninstitutional care is eligible for an additional federal subsidy to pay for home and community based care. For purposes of eligibility, the states can consider those who earn between 150% and 300% of the federal poverty level.
–By October 1, 2015, the states should reach a target of spending 50% of their long-term care services under their Medicaid program for home and community-based services. Additional funds received by the States should only be used for noninstitutional care.
–A statewide eligibility portal should be made available to ease with eligibility.