This chart book explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal year (FY) 2019 through FY 2023. The focus of this chart book is on Medicaid nursing facility services, with one chapter that illustrates Maryland’s efforts at providing home and community-based services (HCBS) to an increasing number of Medicaid recipients who may otherwise be served in nursing facilities.
The goals of the ACIS program are to reduce unnecessary health services use, increase housing stability, and improve health outcomes for Medicaid participants at risk of institutional placement or homelessness. CMS requires the Maryland Department of Health (the Department) to assess pilot programs operating under the state’s §1115 demonstration waiver using both quantitative and qualitative approaches. At the Department’s request, Hilltop conducted a quantitative analysis of participant characteristics and service utilization for individuals enrolled in ACIS during calendar years (CY) 2019 to CY 2023. This report provides the results of Hilltop’s analysis.
Principal Policy Analyst Christine Gill, PhD, presented this poster at the 2025 AcademyHealth Annual Research Meeting (ARM) held June 7–9 in Minneapolis.
The Model Waiver provides services to individuals with medically complex needs and a chronic hospital or nursing facility level of care to be supported in their own homes or community-based settings. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Medical Day Care Services (MDC) Waiver provides health, social, and related support services in a community-based setting to functionally disabled adults age 16 and older. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Family Supports Waiver (FSW) provides community-based services and supports to individuals aged 21 years or younger with developmental or intellectual disabilities. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Community Personal Assistance Services (CPAS) program is a state plan program that provides in-home personal assistance services, nurse monitoring, and supports planning to older adults and individuals who need assistance with at least one activity of daily living. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Community Pathways Waiver (CPW) provides community-based services and supports to individuals with developmental or intellectual disabilities. The waiver includes both self-directed and traditional service delivery models. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Home and Community-Based Options Waiver (CO Waiver) provides community-based services and supports that enable older adults and those with physical disabilities to continue living in their own homes or in assisted living facilities. This infographic presents information for fiscal year (FY) 2019 through FY 2023.
The Community First Choice Program (CFC), is a §1915(k) state plan program that provides home and community-based services (HCBS) to older adults and individuals with disabilities who meet an institutional level of care. Individuals can receive CFC services while enrolled in other HCBS programs. This infographic presents information for fiscal year (FY) 2019 through FY 2023.