At the request of the New Mexico Human Services Department, The Hilltop Institute (as the Center for Health Program Development and Management) examined provider payment rates for Medicaid home- and community-based services (HCBS) waiver programs in New Mexico and five nearby states. Hilltop compared rates across states and within New Mexico’s four HCBS waivers.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid financing basics, concerns about Medicaid maximization, Medicaid and IT, fraud and abuse, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid quality initiatives, challenges in non-IT quality “transformation” efforts, health information technology, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid long-term care, waivers in long-term care, dual eligibles, challenges to long-term care reform, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid-covered benefits, rules governing delivery of benefits, beneficiary cost sharing, waivers that affect acute care benefits, delivery systems, and issues for consideration by the Commission.

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This presentation, delivered at the federal Medicaid Commission’s October 26-27, 2005, meeting, addresses Medicaid eligibility groups, eligibility rules, enrollment growth, and issues for consideration by the Commission.

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Prepared for the Maryland Department of Aging, this report estimates the number of persons in Maryland who may require some form of publicly funded long-term support services by the year 2012. The projections take into account income, age, and disability.

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This report, prepared for the Maryland legislature, discusses progress that Maryland has made in updating fee-for-service reimbursement rates to promote provider participation in the Medicaid program.

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This report describes the services The Hilltop Institute (as the Center for Health Program Development and Management) provided to the Maryland Department of Health and Mental Hygiene under the 2005 Memorandum of Understanding between Hilltop and the Department. Services included Medicaid program development and policy analysis; HealthChoice program support, evaluation, and monitoring; managed care payment development and financial monitoring; long-term supports and services research and analysis; data warehousing and website development; and analysis of special needs and high-cost populations.

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This presentation provides background information on the Medicaid program as the federal Medicaid Commission prepared to address its mandate. The presentation covers the Medicaid state plan, flexibility under the state plan, Section 1115 waivers, and challenges in Medicaid that cannot be resolved by reforming Medicaid alone.

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