As states move into FY 2013, curbing costs will remain a strong focus of Medicaid programs, according to the Kaiser survey. In FY 2012, 48 states implemented at least one new policy to control Medicaid costs, and 47 planned to do so in FY 2013. The most typical Medicaid spending cuts in FY 2012 were to reimbursement rates for hospitals and doctors and to optional benefits, such as dental, vision, and drug coverage. Forty-five states cut or froze reimbursement rates, according to the survey, and 18 scaled back benefits. Many states also expanded the use of managed care for their Medicaid populations. Provider rate restrictions were the most commonly reported cost containment strategy. However, with improvements in the economy, some states were able to restore cuts in FY 2012 or make targeted efforts in FY 2013 to boost provider rates and benefits. States also continue to expand community-based long term care through both traditional programs and also new options in the ACA.