The United States Department of Health and Human Services also changed Medicaid rules so that Medicaid coverage was available to more low income people with disabilities and families with children with disabilities while living at home.

This helped reduce the bias that let people in institutions qualify for Medicaid at higher income levels than people in the community.

The Systems Change Grants for Community Living contained three grant programs to assist states to develop and implement their Olmstead plans.

The Nurses Facility Transition program provided grants
to state agencies and community organizations to make
community living arrangements available for people in
institutions or at risk of nursing home placement.