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 2022 review of the pilot program.
Hilltop Policy Analyst Advanced Roberto Millar, PhD, and Director of Aging and Disability Studies Christin Diehl coauthored this article published in Nursing Reports. This article discusses the results of a cross-sectional study that utilizes public data from 218 Medicare and Medicaid-certified nursing facilities in Maryland to examine the association between staffing requirements and quality of care ratings, as well as the role facility ownership plays.
Hilltop Policy Analyst Advanced Roberto Millar, PhD, and Director of Aging and Disability Studies Christin Diehl coauthored this article published in the Journal of Applied Gerontology. They discuss the importance of nursing facility structural characteristics in contributing to residents’ quality of care. The study used data from 220 Maryland nursing facilities to examine associations between two different quality-of-care metrics: family satisfaction and Care Compare five-star quality ratings.
This annual report, written for the UMBC community, provides an overview of key projects and staff accomplishments for FY 2024.
This is the third 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 help improve coordination of care transitions for individuals who are dually eligible for Medicare and Medicaid. This review covers key findings from the third year of implementation.
This chart book explores utilization and expenditures for Medicaid-funded LTSS in Maryland for state fiscal year (FY) 2018 through FY 2022. 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, presented this poster at the 2024 AcademyHealth Annual Research Meeting (ARM) held June 29 – July 2 in Baltimore.
The goals of the ACIS program are to reduce unnecessary health services use, increase housing stability, and improve health outcomes for Medicaid participants at risk of institutional placement or homelessness. CMS requires the Maryland Department of Health (the Department) to assess pilot programs operating under the state’s §1115 demonstration waiver using both quantitative and qualitative approaches. At the Department’s request, Hilltop conducted a quantitative analysis of participant characteristics and service utilization for individuals enrolled in ACIS during calendar years (CY) 2018 to CY 2022. This report provides the results of Hilltop’s analysis.
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 settings. Services covered under the waiver include private duty nursing (PDN) services provided by registered nurses (RNs), licensed practical nurses (LPNs), certified nursing assistants (CNAs), and home health aides (HHAs). This infographic provides information for fiscal year (FY) 2019 to FY 2022.
The Medical Day Care (MDC) Services Waiver provides health, social, and related support services in a community‐based setting to functionally disabled adults aged 16 and older. This infographic presents information for fiscal year (FY) 2019 to FY 2022.