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The Hilltop Institute

Bulletin

September 19, 2025


Hilltop Annual Review of Assistance in Community Integration Services Program Cited in the New York Times


Hilltop’s annual review of Maryland’s Assistance in Community Integration Services (ACIS) program has just been cited in a New York Times article titled Trump’s Medicaid Cuts Could Hamper Efforts to House the Homeless. The article also briefly discusses some of the results of Hilltop’s review.

ACIS is a Medicaid-funded pilot program established in 2017 that provides tenancy-based case management services/tenancy support services, and housing case management services to a population that meets both health and housing needs-based criteria. The four ACIS pilots serve up to 900 individuals annually. Hilltop’s review found that 77% of ACIS participants obtained stable housing and were less likely than before the program to be hospitalized or to visit the emergency room. High-frequency users of emergency rooms fell by 30%.

Read Hilltop’s review.

View an infographic about Hilltop’s CY 2023 review.