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. Over 20 years after its launch, HealthChoice covers close to 90% of the state’s Medicaid and Maryland Children’s Health Program (MCHP) populations. Since the inception of HealthChoice, the Maryland Department of Health (MDH) has requested and received seven §1115 waiver renewals.
The Hilltop Institute, on behalf of MDH, evaluates the program annually; this evaluation covers the period from CY 2017 through CY 2021.
Senior Policy Analyst Katherine Holmes, MPS, presented her research in this poster at the 2023 AcademyHealth Annual Research Meeting (ARM) held June 24-27, 2023, in Seattle.
Principal Policy Analyst Dolapo Fakeye, PhD, gave this podium presentation at the 2023 AcademyHealth Annual Research Meeting (ARM) held June 24-27, 2023, in Seattle.
Data Scientist Leigh Goetschius, PhD, presented her research in this poster at the 2023 AcademyHealth Annual Research Meeting (ARM) held June 24-27, 2023, in Seattle. Executive Director Cynthia Woodcock presented this poster.
This chart book explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal years (FYs) 2017 through 2021. 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.
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) 2022 (July 1, 2021, through June 30, 2022). 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.
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 2021 review of the pilot program.
This chart book explores service utilization and expenditures for dual-eligible beneficiaries (individuals who are eligible to receive both Medicare and Medicaid services)—with a focus on full-benefit dual-eligible beneficiaries—of all ages who received services in calendar years (CYs) 2015 through 2019.
Pursuant to Maryland Health-General §15-103.5 and Insurance Article §19-807(d)(2), the Maryland Department of Health 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 2023, satisfies these requirements for fiscal year 2022.
The Maryland Department of Health (MDH) engaged The Hilltop Institute and Aurrera Health Group to conduct a landscape needs assessment of the state’s School-Based Health Center (SBHC) Program. The assessment will inform the Program’s strategic priorities, growth, and structure as it transitions from the Maryland State Department of Education (MSDE) to MDH. The assessment includes an analysis of the status of SBHCs in Maryland, geographic areas that may benefit from establishing SBHCs, and recommendations for program implementation and SBHC funding allocation.