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 & 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 (NBI) 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 NBIs 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