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Program Objectives
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  • Rebalancing — Increase the use of home and community-based, rather than institutional, long-term care services.

  • Money Follows the Person — Eliminate barriers or mechanisms, whether in the State law, the State Medicaid plan, the State budget, or otherwise, that prevent or restrict the flexible use of Medicaid funds to enable Medicaid-eligible individuals to receive support for appropriate and necessary long-term services in the settings of their choice.

  • Continuity of Service — Increase the ability of the State Medicaid program to ensure continued provision of home and community-based long-term care services to eligible individuals who choose to transition from an institutional setting to a community setting.

  • Quality Assurance and Quality Improvement — Ensure that procedures are in place (at least comparable to those required under the qualified HCB program) to provide quality assurance for eligible individuals receiving Medicaid home and community-based long-term care services and to provide for continuous quality improvement in such services.


The demonstration provides for enhanced federal medical assistance percentage (FMAP) for 365 days for each person who meets a minimum duration of institutional living of 90 days and are Medicaid-eligible in order to be transitioned from the institution to the community during the demonstration period. Additionally, the State must continue to provide community services after the 12 month period for as long as the person continues to be Medicaid eligible for Home and Community Based Services (HCBS) or State Plan Amendment (SPA).

As Oregon Community Choices Program (OCCP) rebalancing demonstration funding accumulates, these funds may be used within the OCCP program and for similar activities/services for qualified OCCP recipients. Specific expenditure of rebalancing funds will be determined by input from the OCCP Steering Committee and OCCP Stakeholder Committee.
Additional information may be found at the Medicaid.gov Community-based Long-term Services and Supports Web page.​