Older people and people with disabilities often need assistance with things like going shopping, getting dressed and other things. Solving these problems often is the difference between being able to stay at home or having to go to a nursing home. In recent years, Medicaid expanded coverage of home-based services, but it's optional in some states. Recently, the federal Department of Health and Human Services unveiled every state's plan for how they'll use the funds. An estimated $12.7 billion dollars in federal matching funds are available to "encourage states to expand home and community-based services and strengthen their programs." 

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