The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 2, The Brain Injury Waiver is the second in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 1 explores service utilization and expenditures for Maryland Medicaid’s Autism Waiver. Volume 3 provides information on the states’ Medicaid Model Waiver.
The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 3, The Model Waiver is the third chart book in a series of three that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. Volume 1 in this series explores service utilization and expenditures for Maryland’s Autism Waiver. Volume 2 provides this information for the Brain Injury Waiver.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the Master Agreement between Hilltop and DHMH. The report covers fiscal year (FY) 2016 (July 1, 2015, through June 30, 2016). 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.
This report describes the services The Hilltop Institute provided to the Maryland Department of Health and Mental Hygiene (DHMH) under the Master Agreement between Hilltop and DHMH. The report covers fiscal year (FY) 2015 (July 1, 2014, through June 30, 2015). 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.
This issue brief, the thirteenth in a series, addresses Hilltop’s latest update of the Community Benefit State Law Profiles to reflect new community benefit legislation enacted between November 1, 2015, and May 31, 2016. Just three states enacted new community benefit legislation: Florida, New Hampshire, and Vermont. To better under-stand current trends in legislative action, Hilltop also reviewed community benefit bills in eight states that were introduced but not enacted or are still pending. Bills like these are often reintroduced in subsequent sessions and inform legislative activity and policy-making in other states.
The Hilltop Institute’s Community Benefit State Law Profiles (Profiles) present a comprehensive analysis of each state’s community benefit landscape as defined by its laws, regulations, tax exemptions, and, in some cases, policies and activities of state executive agencies. The Profiles organize these state-level legal frameworks by the major categories of federal community benefit requirements found in §9007 of the Affordable Care Act (ACA), §501(r) of the Internal Revenue Code. As state policymakers and community stakeholders assess their state’s community benefit landscape in the wake of national health reform, the Profiles provide a needed contextual basis for consideration of these policies against those of other states and federal community benefit benchmarks.
The Profiles were originally published in March 2013. Because states typically update laws during their annual legislative sessions, Hilltop methodically reviewed the community benefit laws of all 50 states twice in 2015 and once in 2016 to ensure that all legislative changes were identified. The first update, published January 2015, identifies changes that occurred between March 2013 and December 31, 2014. The second update, published December 2015, identifies changes that occurred between January 1, 2015, and October 31, 2015. This third update, published June 2016, identifies changes that occurred between November 1, 2015, and May 31, 2016.
This report presents the findings of an assessment of the impact of diabetes on Maryland’s Medicaid program. The assessment focuses on adults aged 35 to 64 years enrolled in HealthChoice, Maryland’s Medicaid managed care program. The Hilltop Institute at the University of Maryland, Baltimore County (UMBC) conducted this assessment for MedChi, the Maryland State Medical Society, to provide a detailed view of the effects of diabetes diagnoses on the use of health care services and expenditures among adult HealthChoice enrollees.
This chart book summarizes claims data for Medicaid beneficiaries in Mississippi using long-term services and supports (LTSS) data from calendar years (CYs) 2010 through 2014. It focuses on Mississippi’s five Medicaid waiver programs that provide home and community-based services (HCBS) to Medicaid-eligible individuals with low income and functional limitations. The waivers serve people who might otherwise require the services of a nursing facility, enabling them to return to or remain in the community.
HealthChoice—Maryland’s statewide mandatory Medicaid managed care program—was implemented in 1997 under authority of Section 1115 of the Social Security Act. Since the inception of HealthChoice, the Maryland Department of Health has conducted five comprehensive evaluations of the program as part of the 1115 waiver renewals. Between waiver renewals, the Department completes an annual evaluation for HealthChoice stakeholders. This report is the 2014 annual evaluation of the HealthChoice program.
On March 29, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on Medicaid and Children’s Health Insurance Programs; Mental Health Parity and Addiction Equity Act of 2008; the Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations (MCOs), the Children’s Health Insurance Program (CHIP), and Alternative Benefit Plans (ABPs) (https://www.gpo.gov/fdsys/pkg/FR-2016-03-30/pdf/2016-06876.pdf). This rule provides new requirements for Medicaid and CHIP compliance with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equality Act of 2008 (MHPAEA) and the Affordable Care Act (ACA). Final MHPAEA regulations for group health insurance plans were issued in 2013. Much of this final rule extends the MHPAEA requirements for group health plans to Medicaid MCOs, CHIP, and ABPs, with exceptions and changes as applicable to address the unique aspects of state Medicaid mental health (MH) and substance use disorder (SUD) delivery systems. This document provides a high-level summary of the rule and highlights the changes to the proposed rule.
