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HR 3590 EAS/PP
(1) A
PPLICATION
.--The State submits an appli-
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cation to the Secretary that includes, in addition to
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such other information as the Secretary shall re-
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quire--
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(A) a proposed budget that details the
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State's plan to expand and diversify medical as-
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sistance for non-institutionally-based long-term
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services and supports described in subsection
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(f)(1)(B) under the State Medicaid program dur-
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ing the balancing incentive period and achieve
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the target spending percentage applicable to the
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State under paragraph (2), including through
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structural changes to how the State furnishes
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such assistance, such as through the establish-
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ment of a ``no wrong door--single entry point
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system'', optional presumptive eligibility, case
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management services, and the use of core stand-
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ardized assessment instruments, and that in-
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cludes a description of the new or expanded of-
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ferings of such services that the State will pro-
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vide and the projected costs of such services; and
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(B) in the case of a State that proposes to
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expand the provision of home and community-
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based services under its State Medicaid program
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through a State plan amendment under section
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