This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FYs 2020 and 2021.
This chart book explores utilization and expenditures for Medicaid-funded long-term services and supports (LTSS) in Maryland for state fiscal years (FYs) 2015 through 2019. 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.
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. Due to the high demand for Autism Waiver services and a defined capacity, individuals wishing to receive waiver services must have their name placed on the Autism Waiver Registry. This infographic presents data about the list and its registrants for FY 2018 to FY 2021.
With funding from the National Institutes on Drug Abuse (NIDA), Medicaid Outcomes Distributed Research Network (MODRN) members and AcademyHealth conducted key informant interviews with nine states to describe the roles that Medicaid programs have taken to address the opioid epidemic and their policy and operational decisions. Hilltop Chief of Staff Alice Middleton, JD, is a co-author of this AcademyHealth report, which presents the findings of this research.
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 setting. Each year, the Maryland Department of Health strives to serve an additional ten participants through the BI Waiver. This infographic provides a brief overview of Hilltop’s review of the program.
State Medicaid programs are the largest single provider of healthcare for pregnant persons with opioid use disorder (OUD). The objective of this study was to provide comparable, multistate measures estimating the burden of OUD in pregnancy, medication for OUD (MOUD) in pregnancy, and related neonatal and child outcomes.
Senior Policy Analyst Shamis Mohamoud was part of the Medicaid Outcomes Distributed Research Network (MODRN) team of authors of this article published in the Journal of Addiction Medicine.
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 setting. A unique aspect of the Model Waiver is that, due to the medically complex needs of its participants, non-waiver expenditures typically far exceed waiver expenditures. This infographic presents data about the waiver and its participants for FY 2014 to FY 2019.
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 2020 review of the pilot program.
Chlamydia, gonorrhea, and syphilis are common, treatable sexually transmitted infections (STIs) that are highly prevalent in the general US population. Costs associated with diagnosing and treating these conditions for individual states’ Medicaid participants are unknown. The purpose of this study was to estimate the cost of screening and treatment for 3 common STIs for state Medicaid program budgets in Maryland and South Carolina.
Ian Stockwell, Alice Middleton, and Charles Betley co-authored this article published in Sexually Transmitted Diseases.
In 2014, Maryland implemented a global budget revenue (GBR) program that prospectively sets hospital budgets. This program introduced incentives for hospitals to tightly control volume and meet budget targets. In this study, we examine the effects of GBR on emergency department (ED) visits, admissions, and returns.
Executive Director Cynthia Woodcock was a co-author of this article published in Academic Emergency Medicine.