Chuck Milligan delivered this presentation to the federal Medicaid Commission in Washington, D.C., on November 16, 2006, as part of the discussion of the Commission’s final report and recommendations.

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This report, prepared for the Maryland legislature, discusses the progress of updating reimbursement rates for the Maryland Medical Assistance Program and the Maryland Children’s Health Program. Preparation of such a report is required annually by SB 481 of the 2002 legislative session.

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This report describes the services The Hilltop Institute (as the Center for Health Program Development and Management) provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the Memorandum of Understanding between Hilltop and DHMH. In fiscal year 2006, Hilltop’s interdisciplinary staff provided a wide range of services, including: Medicaid program development and policy analysis; HealthChoice program support, evaluation, and monitoring; development of CommunityChoice, Maryland’s managed long-term care program; other research and analysis related to long-term supports and services; managed care payment development and financial monitoring; and data warehousing and website development.

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This issue brief is an executive summary and update to the more comprehensive issue brief with the same title dated January 2006.

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In this feasibility study, conducted for the Maryland Department of Health and Mental Hygiene, The Hilltop Institute (as the Center for Health Program Development and Management) examined Code of Maryland Regulations pertaining to respite services; surveyed agencies that provide respite services to families of children with disabilities as well as the families themselves; and created a demonstration model for providing respite services in Maryland.

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The Hilltop Institute (as the Center for Health Program Development and Management) conducted a telephone survey of 2,100 community-dwelling Maryland Medicaid beneficiaries as the first phase of a broader research agenda to explore how functional status, as measured by activities of daily living (ADLs), is related to resource use over time, as well as how such measures might be used for rate setting and performance assessment for CommunityChoice and other integrated managed long-term care programs.

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This presentation, given to the federal Medicaid Commission on May 17, 2006, examines the characteristics of individuals dually eligible for Medicare and Medicaid and their health care expenditures and utilization.

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This report, commissioned by the Rhode Island Department of Human Services pursuant to Joint Resolution 05-R 384 of the Rhode Island General Assembly, examines community-based long-term care services in Rhode Island. The study includes a review of payment rates and rate methodologies, an assessment of workforce capacity, and recommendations for restructuring state funding to promote community-based services.

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This presentation, delivered to the federal Medicaid Commission on March 14, 2006, gives an overview of reform proposals for providing Medicaid-financed long-term care.

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This presentation, delivered to the federal Medicaid Commission on January 24-25, 2006, examines Medicaid reform proposals under consideration at that time.

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