Last week, the Department of Health & Human Services notified states that they now have an additional year — through March 31, 2025 — to use funding made available by the American Rescue Plan (ARPA) to enhance, expand, and strengthen HCBS for people with Medicaid who need long-term services and supports. In Ohio, these are the dollars that were used to fund some of the HB169 provider relief. Additionally, Ohio’s plan includes numerous workforce initiatives, as well as system enhancements like adult day development grants and $50 million to fund PACE expansion. The extended deadline takes some pressure off the state, which may have struggled to administer so many new programs and services in time. However, it also slows the pace of investments for providers whose needs are acute and urgent.
Additional information on states’ spending plans — including a recently updated infographic summarizing planned activities and key investments — can be found here. This LeadingAge article also describes how this is a very important opportunity for LeadingAge member advocacy with state Medicaid agencies.