The objective of this project was to estimate the impact of increased use of reverse mortgage annuities (RMAs) on Medicaid expenditures. In collaboration with The Lewin Group, we used the Long Term Care Financing Model, a micro-simulation model that can be used to evaluate the impact of a variety of long term care policy scenarios to evaluate the potential impact of policy changes that increased the use of RMAs. As a result we produced a chapter that went into an overall report regarding the issue.