National Balancing Indicator Project

Project Overview

As states continue to reform their long-term services and supports (LTSS) systems, there is growing interest in determining their success in providing LTSS systems that are person-centered and balanced between home and community-based and institutional-based LTSS. However, there is a gap in the availability of common indicators to examine states’ efforts in achieving such a LTSS system. The Centers for Medicare and Medicaid Services (CMS) funded the National Balancing Indicators Project (NBIP) from 2010-2014 to refine and add to 18 “core” indicators and “short-term “ developmental indicators that were established under the CMS-funded National Balancing Indicators Contract from 2007-2010.

The scope of the indicators has expanded to address changes associated with the new environmental context. The NBIP will recommend a final set of LTSS indicators based on findings from a comprehensive crosswalk of the indicators developed by other federal agencies, gap analyses, a State self-assessment data collection effort, and active communication with stakeholders and experts.  The final set of National Balancing Indicators are designed to cover a wide spectrum of LTSS and to be a useful instrument in assessing state balancing of institutional and home and community-based services across various projects.

Selected Project Publications