This series of chart books, entitled Medicaid Long-Term Supports and Services in Maryland, summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs—the Older Adults Waiver, the Living at Home Waiver, and the Autism Waiver—and on nursing facility utilization among Maryland Medicaid recipients. These chart books, prepared for the Maryland Department of Health and Mental Hygiene, are intended to monitor trends in these programs. Hilltop plans to update the chart books annually.
The Living at Home Waiver Chart Book provides information on Maryland Medicaid participants who receive services through this program, which provides community-based services and supports for low-income individuals with physical disabilities who are aged 18 to 64 years at the time of enrollment, and who would otherwise require the services of a nursing facility. The Living at Home Waiver is administered by Maryland Medicaid.
Also in this series are: The Older Adults Waiver Chart Book, The Autism Waiver Chart Book, and The Nursing Facilities Chart Book.
This series of chart books, entitled Medicaid Long-Term Supports and Services in Maryland, summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs—the Older Adults Waiver, the Living at Home Waiver, and the Autism Waiver—and on nursing facility utilization among Maryland Medicaid recipients. These chart books, prepared for the Maryland Department of Health and Mental Hygiene, are intended to monitor trends in these programs. Hilltop plans to update the chart books annually.
The Autism Waiver Chart Book provides information on Maryland Medicaid participants who receive services through this program, which provides home and community-based services to children aged 1 through 21 years with Autism Spectrum Disorder. The Autism Waiver is administered by the Maryland State Department of Education.
Also in this series are: The Older Adults Waiver Chart Book, The Living at Home Waiver Chart Book, and The Nursing Facilities Chart Book.
This series of chart books, entitled Medicaid Long-Term Supports and Services in Maryland, summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs—the Older Adults Waiver, the Living at Home Waiver, and the Autism Waiver—and on nursing facility utilization among Maryland Medicaid recipients. These chart books, prepared for the Maryland Department of Health and Mental Hygiene, are intended to monitor trends in these programs. Hilltop plans to update the chart books annually.
The Nursing Facilities Chart Book reports on nursing facility services provided to Maryland Medicaid beneficiaries aged 19 years and older. It summarizes demographic, service utilization, acuity, expenditure, and length of stay data.
Also in this series are: The Older Adults Waiver Chart Book, The Living at Home Waiver Chart Book, and The Autism Waiver Chart Book.
Hilltop’s Director of Special Research and Development, Tony Tucker, gave this presentation to the Maryland Department of Health and Mental Hygiene (DHMH) Long-Term Care Payment Advisory Committee (LTC PAC). It describes RUGs, the LTC minimum data set (MDS) as it is used to assign RUGs to nursing facility (NF) residents, and Hilltop’s process to refine MDS data to examine patterns of care. Hilltop refined MDS data were also used to show the distribution of Maryland’s NF residents, as well as measures of length of NF stays, by RUG level and payor.
This presentation, delivered by Charles Milligan to the Maryland Department of Health and Mental Hygiene (DHMH) Long-Term Care Payment Advisory Committee (LTC PAC), describes findings from a Hilltop study that examined the Medicaid nursing facility (NF) payment systems of all 50 states and the District of Columbia. It also compares Maryland’s payment system to that in other states.
The Maryland Kids First Act was signed into law in May 2008. It directed the Maryland Department of Health and Mental Hygiene (DHMH) to use the state’s personal income tax system to target outreach efforts to children who might be eligible for Medicaid or CHIP (in Maryland, known as the Maryland Children’s Health Program, or MCHP). To study whether this outreach strategy is effective, the State Health Access Reform Evaluation (SHARE) Program, a national program of the Robert Wood Johnson Foundation, commissioned DHMH and its partner, The Hilltop Institute, to evaluate the outreach effort. Hilltop researchers performed the study on behalf of DHMH. The brief highlights the findings and identifies 10 lessons learned from the experience so far, addressing issues such as data-sharing, health literacy, inclusion/exclusion criteria, tracking mechanisms, and the circumstances under which legislation is necessary in order to implement tax-based outreach.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the 2009 Memorandum of Understanding between Hilltop and DHMH. The report covers state fiscal year 2009 (July 1, 2008, through June 30, 2009). Hilltop’s interdisciplinary staff provided a wide range of services, including: Medicaid acute care program development and policy analysis; HealthChoice program support, evaluation, and monitoring; behavioral health and dental care analyses; research, analysis, and program development related to long-term supports and services; Medicaid rate setting–payment development and financial monitoring; and data management and web-accessible database development.
This report is the second in a series that explores the cross-payer effects of providing Medicaid long-term supports and services on Medicare acute care resource use. Patterns of Medicaid eligibility, as well as resource use under both Medicare and Medicaid are examined primarily within the context of service use-based groups that might be used to set rates for Medicaid capitation payments for managed long-term care. The report examines, in further detail, the overall patterns of resource use, and presents and simulates a rate setting system to cover the Medicaid portion of costs associated with coordinated care in an integrated Medicare and Medicaid environment. The relationship between CMS Hierarchical Condition Categories-based risk adjustment that is used to establish payments for Medicare Advantage plans and Medicaid resource use is also explored.
Also in this series are: A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data, A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data–Poster Presentation, Examining the Medicare Resource Use of Dually Eligible Medicaid Recipients, and Cross-Payer Effects on Medicare Resource Use: Lessons for Medicaid Administrators.
Comprehensive assessments play an important role as states seek to provide more long-term care (LTC) in home and community-based service (HCBS) settings rather than in institutions. A well-designed assessment instrument identifies the full range of a consumer’s service needs so that they can be addressed, thus preventing or delaying the need for institutionalization. This report identifies trends and emerging best practices in comprehensive assessments for HCBS. Assessment instruments from 13 states are included in the analysis.
This presentation to the federal Medicaid Commission on September 6, 2006, discusses Medicaid reimbursement for private providers, safety-net providers, public providers, and managed care organizations.