The Balancing Incentive Payment Program was created by the Affordable Care Act. Under the program, states can receive increased federal Medicaid matching funds to rebalance their long term services and supports budgets. The program has $3 billion to award to states that choose to participate in the program. Thus far, $800,000 has been awarded to New Hampshire, Maryland, Georgia, Mississippi, Missouri, Iowa, Texas, and Indiana. States are eligible for a 2% increase in their federal medical assistance percentage (FMAP) if they currently spend less that 50% of their long term services and supports budget on home and community based services (HCBS) and a 5% increase if they spend 25% or less on HCBS. The funds are available through 2015.