Assistance in Community Integration Services (ACIS) is a pilot program that is operated under Maryland’s §1115 demonstration waiver for HealthChoice, the state’s Medicaid managed care program launched in 1997. Under this pilot, the state provides a set of home and community-based services (HCBS) to a population that meets certain needs-based health and housing eligibility criteria. This summary report discusses ACIS program goals, eligibility criteria, services, and participating lead entities, followed by the study objectives, research methodology, key findings, and study limitations.
Principal Policy Analyst Dolapo Fakeye, PhD, presented this poster at the 2023 AcademyHealth Annual Research Meeting (ARM) held June 24-27, 2023, in Seattle.
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.
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.
This is the first annual review of the integration requirements for Medicare Advantage dual eligible special needs plans (D-SNPs), completed for the Maryland Department of Health. The goal of D-SNP integration, which became effective in calendar year (CY) 2021, is to improve coordination of care transitions for individuals who are dually eligible for Medicare and Medicaid. To meet this goal, D-SNPs are required to notify the state designees (e.g., supports planners) of Medicare hospital and skilled nursing facility (SNF) admissions when members receive long-term services and supports (LTSS) through a home and community-based services (HCBS) waiver or state plan program. This review describes key findings from the first year of implementation, focusing on aggregate trends.
This chart book explores utilization and expenditures for Medicaid-funded long-term services and supports (LTSS) in Maryland for state fiscal year (FY) 2016 through FY 2020. 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.
Policy Analyst Advanced Roberto Millar, PhD, Senior Programmer Erick Geil, and Director of Aging & Disability Studies Christin Diehl co-authored this article published in the Journal of Applied Gerontology.
In Maryland, residential service agencies deliver Medicaid home and community-based services (HCBS) to older adults with disabilities through direct care workers. Leveraging survey data from residential service agency administrators, this study describes agency characteristics and participant and family caregiver experiences by participant dementia status. Findings lay the foundation for future longitudinal and embedded interventions within Medicaid HCBS.