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.
The Brain Injury (BI) Waiver provides services to individuals aged 22 or older with a brain injury diagnosis who require specialty 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.
Autism Waiver services enable individuals who have Autism Spectrum Disorder and who meet an institutional 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 Assistance in Community Integration Services (ACIS) pilot program began in late 2017 with the goal of reducing unnecessary health services use among Medicaid beneficiaries by providing tenancy and housing case management services through four lead entities (LEs). This infographic provides a brief overview of Hilltop’s 2022 review of the pilot program.
Hilltop Policy Analyst Advanced Roberto Millar, PhD, and Director of Aging and Disability Studies Christin Diehl coauthored this article published in Nursing Reports. This article discusses the results of a cross-sectional study that utilizes public data from 218 Medicare and Medicaid-certified nursing facilities in Maryland to examine the association between staffing requirements and quality of care ratings, as well as the role facility ownership plays.
Hilltop Policy Analyst Advanced Roberto Millar, PhD, and Director of Aging and Disability Studies Christin Diehl coauthored this article published in the Journal of Applied Gerontology. They discuss the importance of nursing facility structural characteristics in contributing to residents’ quality of care. The study used data from 220 Maryland nursing facilities to examine associations between two different quality-of-care metrics: family satisfaction and Care Compare five-star quality ratings.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health under their Master Agreement. The report covers fiscal year (FY) 2024 (July 1, 2023, through June 30, 2024). Hilltop’s interdisciplinary staff provided a wide range of services, including Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development.
This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FY 2024.
This is the third annual review of the integration requirements for Medicare Advantage dual eligible special needs plans (D-SNPs) completed for the Maryland Department of Health. The goal of D-SNP integration, which became effective in calendar year (CY) 2021, is to help improve coordination of care transitions for individuals who are dually eligible for Medicare and Medicaid. This review covers key findings from the third year of implementation.
This chart book explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal year (FY) 2018 through FY 2022. 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.