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.

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As the Medicaid Outcomes Distributed Research Network (MODRN) research partner for Maryland, Hilltop co-authored this JAMA article, which concluded that, among Medicaid enrollees in 11 states, the prevalence of medication use for treatment of opioid use disorder increased from 2014 through 2018. Senior policy analyst Shamis Mohamoud, MA, was Hilltop’s main contributor.

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In 1997, Maryland implemented HealthChoice—a statewide mandatory Medicaid and Children’s Health Insurance Program (CHIP) managed care program—under authority of a waiver through §1115 of the Social Security Act. The provisions of the Affordable Care Act (ACA) that went into effect in 2014 marked another milestone by extending quality coverage to many more Marylanders with low income by calendar year (CY) 2018. Over 20 years after its launch, HealthChoice covered close to 90 percent of the state’s Medicaid and Maryland Children’s Health Program (MCHP) populations.

The Hilltop Institute, on behalf of the Maryland Department of Health (the Department), evaluates the program annually; this evaluation covers the period from CY 2015 through CY 2019.

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As of the writing of this review, Mississippi was 1 of 12 states to have not expanded its Medicaid program under the Affordable Care Act (ACA). Recent discussion on a possible expansion within the state, however, has demonstrated the need for timely, non-partisan research on this topic. To that end, the Center for Mississippi Health Policy contracted with The Hilltop Institute to conduct a study of the economic impact of a (hypothetical) Medicaid expansion, with a focus on Mississippi’s Medicaid program, state budget, and provider landscape. As part of the development of the analytic plan for the study, Hilltop conducted this literature review in order to document relevant findings that can help inform the study design.

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As part of its routine analyses of long-term services and supports users for the Maryland Department of Health, Hilltop created this infographic to present information about Maryland Medicaid participants who received services through the Autism Waiver in fiscal years 2014 through 2019.

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This report is an update to the 2018 Health Home Evaluation Report and the 2015 Joint Chairmen’s Report on Patient Outcomes for Participants in Health Homes. Its purpose is to describe the characteristics and outcomes of participants in the Maryland Health Home program. The Maryland Health Home program for individuals with chronic conditions builds on statewide efforts to integrate somatic and behavioral health services.

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This is the first chart book in a series that explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal year (FY) 2014 through FY 2018. 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.

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As directed by the 2020 Joint Chairmen’s Report from the Maryland General Assembly, Hilltop, in consultation with the Maryland Department of Health, examined Maryland’s Home and Community-Based Options Waiver (CO Waiver), established in 2014 through a merger of the Waiver for Older Adults and the Living at Home Waiver. To address the Joint Chairmen’s request, Hilltop conducted this five-part study.

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This report describes the services The Hilltop Institute provided to the Maryland Department of Health (the Department) under the Master Agreement between Hilltop and the Department. The report covers fiscal year (FY) 2020 (July 1, 2019, through June 30, 2020). 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.

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View this timeline to see the process Hilltop followed to develop and implement the Hilltop Pre-AH Model.

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Hilltop continues to work remotely, so please reach us by email. You can find our team members’ email addresses by going to their bios located on the Teams page of our website.