Enacted in 2010, the Affordable Care Act (ACA) gave states the option to expand their Medicaid programs by extending eligibility to almost all adults under age 65 with income below 138% of the federal poverty level (FPL). As of December 2021, Mississippi was 1 of 12 states that has not expanded its Medicaid program. In order to provide state policymakers with the latest available evidence on the potential impact of Medicaid expansion, the Center for Mississippi Health Policy commissioned The Hilltop Institute to conduct a study on the likely effects of Medicaid expansion on Mississippi’s Medicaid program, state budget, wider economy, and providers. This technical report presents the findings of this study in full detail. A summary report is also available.
Pursuant to Maryland Health-General §15-103.5 and Insurance Article §19-807(d)(2), the Maryland Department of Health (MDH) submits an annual report to the Governor and various House and Senate committees addressing the progress of the rate-setting process; a comparison of Maryland Medicaid’s reimbursement rates with those of other states; the schedule for adjusting Maryland’s reimbursement rates; and the estimated costs of implementing the above schedule and proposed changes to the fee-for-service reimbursement rates. This report, dated January 2022, satisfies these requirements for fiscal year 2021.
This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FYs 2020 and 2021.
In this article in the Health Affairs Forefront series, Hilltop Principal Data Scientist Morgan Henderson and Policy Analyst Morgane Mouslim discuss the federal regulation that requires hospitals to publicly post their “standard charges” in machine-readable data files. Read the article online.
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.