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

VII. LOOKING AHEADAll states should complete this section.1. Planned Changes. Please briefly describe any planned changes or new initiatives in the state’s managed careprogram(s), including enrollment of new populations, expansion to new geographic areas, change in managedcare models, other plan changes, etc.2. Health Home Option. Does your state plan to elect the new state plan option under section 2703 of theAffordable Care Act to establish Health Homes for enrollees with chronic conditions?a. If “yes,” will your state seek the enhanced FMAP available under Section 2703 for any program that alreadyexists?3. Outlook for Medicaid Managed Care in the Futurea. What is the expected future direction for managed care in your state (e.g., new, greater or lesser reliance onmanaged care or on the RB-MCO or PCCM delivery model)?b. What do you believe are the most significant issues, challenges or opportunities that your state’s Medicaidmanaged care program will face over the next year or two?c. Please comment briefly on the implications for your state of the federal requirement that rates be actuariallysound:d. What other federal regulatory requirements are issues for your program?e. What do you currently envision will be the role of Medicaid managed care under health reform?f. For states that currently have comprehensive RB-MCOs:i. Do your state’s health plans have sufficient network capacity currently to add new enrollment?ii. Do you anticipate that your state’s health plans collectively can develop or generate sufficient networkcapacity to accommodate the expected Medicaid enrollment growth under health reform?iii. Have any of your Medicaid health plans expressed interest in becoming Insurance Exchange plans?iv. Is your state considering requiring one or more health plans in the Exchange to participate with Medicaid?v. Is your state considering requiring one or more Medicaid health plans to participate in the Exchange?vi. Please briefly describe any issues or barriers to entry that would prevent or discourage your state’s Medicaidhealth plans from becoming Insurance Exchange plans:g. What do you envision the impact of health reform will be on Medicaid managed care?K A I S E R C O M M I S S I O N O NMedicaid and the Uninsured15HEALTH MANAGEMENT ASSOCIATES