Kaiser Family Foundation Survey on State Medicaid Managed Care ...

4. Enrollment Requirements.a. We are interested in learning about state enrollment policies for various eligibility groups. Please complete thetable below to indicate whether each of the groups listed is ever subject to (1) mandatory or (2) voluntarymanaged care enrollment in any part of your state, or (3) whether the group is always excluded from managedcare enrollment. Please note that it is possible to answer “yes” for both mandatory and voluntary if policies varyby geography or program or for some other reason. Also, if a particular group (e.g., childless adults) is not eligiblefor Medicaid in your state, please check “NA” in the drop-down box. You may provide additional explanatorydetail under “Comments.”Eligibility GroupsSSI childrenFoster childrenChildren with special health care needsMedicaid expansion CHIPAll other childrenPregnant womenParents/caretaker relativesNon-dual agedNon-dual blind/disabledChildless adultsInstitutionalized recipientsHome and Community Based recipientsHospice recipientsDual eligiblesMedically needy/spend-downNative AmericansOther:Other:Comments:For at least one managed care programand/or geographic area, is enrollment:(1) Mandatory?(Yes, No or NA)(2) Voluntary?(Yes, No or NA)(3) Populationalways excludedfrom managedcare enrollment?(Yes, No or NA)b. Continuous/Guaranteed EligibilityComments:i. Does your state offer 12 months of continuous eligibility for children (as authorized by Section 4731 of theBalanced Budget Act of 1997)?ii. Does your state provide for 6-month guaranteed eligibility for any managed care enrollees (as authorizedby Section 4709 of the Balanced Budget Act of 1997?c. Does your state impose a lock-in requirement limiting an enrollee’s ability to change plans after initialenrollment?i. If “yes,” please indicate the length of the lock-in period:END OF MANAGED CARE OVERVIEW SECTIONK A I S E R C O M M I S S I O N O NMedicaid and the Uninsured4HEALTH MANAGEMENT ASSOCIATES