The Hilltop Institute has just released a new series of chart books, entitled Medicaid Long-Term Supports and Services in Maryland, that summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs—the Older Adults Waiver, the Living at Home Waiver, and the Autism Waiver—and on nursing facility utilization among Maryland Medicaid recipients. These chart books, prepared for the Maryland Department of Health and Mental Hygiene and now made available to the public online, are intended to monitor trends in these programs. Hilltop plans to update the chart books annually.
The Older Adults Waiver chart book provides information on Maryland Medicaid participants who receive services through this program, which enables low-income individuals aged 50 years and older to remain in a community setting even though, because of their health status, they are eligible for placement in a long-term care facility. The Older Adults Waiver is administered by the Maryland Department of Aging.
The Living at Home Waiver chart book provides information on Maryland Medicaid participants who receive services through this program, which provides community-based services and supports for low-income individuals with physical disabilities who are aged 18 to 64 years at the time of enrollment, and who would otherwise require the services of a nursing facility. The Living at Home Waiver is administered by Maryland Medicaid.
The Autism Waiver chart book provides information on Maryland Medicaid participants who receive services through this program, which provides home and community‐based services to children aged 1 through 21 years with Autism Spectrum Disorder. The Autism Waiver is administered by the Maryland State Department of Education.
The subject of the fourth chart book is Nursing Facilities. It reports on nursing facility services provided to Maryland Medicaid beneficiaries aged 19 years and older. The report summarizes demographic, service utilization, acuity, expenditure, and length of stay data.
The chart books were prepared by Hilltop’s Long-Term Supports and Services Unit, which helps the federal government, states, local governments, and foundations develop new delivery and financing models for Medicaid long-term supports and services that encourage community-based alternatives to institutional care.
To learn more about the chart books or about Hilltop’s work in this area, contact Cynthia H. Woodcock, director of Long-Term Supports and Services.