Aged, Blind and Disabled Study Survey
Should any population(s) be excluded?
Answer Options Response Percent Response Count
Duals (Medicare and Medicaid eligible) 13.6% 18
Individuals over 65 8.3% 11
Individuals with physical disabilities 7.6% 10
Individuals with intellectual/developmental disabilities 15.2% 20
Individuals with Serious Mental Illness or Serious Emotional Disturbances 12.9% 17
Persons meeting institutional level of care 21.2% 28
No opinion 34.8% 46
Other (please specify) 26.5% 35
answered question 132
skipped question 11
Number Response Date Other (please specify) Categories
1 Sep 3, 2013 4:35 PM Our preference is to carve out all LTSS and Supports. This would include all of the above populations. We do not have a position as to non LTSS services.
2 Aug 24, 2013 12:02 PM a medicaid managed care program is a poor solution.
3 Aug 22, 2013 12:30 AM no exclusion
4 Aug 19, 2013 6:19 PM None need be excluded, no one program provides all the care necessary in these complex cases.
5 Aug 16, 2013 4:47 PM Means Test based on overall income and assets.
6 Aug 16, 2013 2:04 PM all should be accepted initially.  Exclusion by individual case only
7 Aug 14, 2013 3:07 PM What have other States done?
8 Aug 13, 2013 6:37 PM None
9 Aug 13, 2013 6:13 PM Instead of phasing managed care in, why doesn't the state look at similar states who have implemented managed care for this population.  There is clear documentation that managed care was NOT intended for the medically frail population. Third party organizations should not be determining medical necessity.  Managed care would have a negative impact on the medically fragile.
10 Aug 12, 2013 4:06 PM all of the above.
11 Aug 12, 2013 4:06 PM Why would we exclude people who need care? I would ask, are there other populations that should be INCLUDED.
12 Aug 12, 2013 2:07 PM Illegal substance users / and  habitual prescribed medication abusers
13 Aug 12, 2013 9:57 AM all inclusive
14 Aug 11, 2013 3:18 PM My ward: 1.  has dual eligibility for Medicare & Medicaid 2.  sees a psychiatric specialist in Indy, a 3 hour drive.  Being limited a local provider means she'll get a doctor who is unlikely to understand her underlying neurological condition that shapes her behavior APART from ordinary mental illness.
 3.  continues to see her family dentist rather than a local dentist because the family dentist is gentle and offers nitrous oxide, but no dentist in her local area does.

----- None of this is so much a matter of being EXCLUDED as of not being allowed to seek services outside of the local managed care options (or being threatened with bureaucracy to constantly maintain the services outside of the local care option.
15 Aug 11, 2013 8:18 AM No one should be omitted. System hard enough now.
16 Aug 10, 2013 2:53 PM Anyone who does not wish to be a part of a managed care plan.
17 Aug 9, 2013 7:42 PM No one should be excluded. All Hoosiers need health care
18 Aug 9, 2013 3:56 PM No, you can't exclude certain populations unless there is another feasible option for them that is equivalent at the very least.
19 Aug 9, 2013 3:33 PM As long as it is voluntary, no group should be excluded.
20 Aug 9, 2013 2:13 PM Can not answer 11, 12, or 13 with out knowing what kind of system would be implemented.  I think if the system focus on quality outcomes for clients and recognizes the costs of the providers there is a potential for managed care to work statewide, for all services, and all populations.  But if the focus is on cost reduction and MCO profits it will not work for anyone.
21 Aug 9, 2013 1:09 PM Not knowing the proposed plan, this is a difficult question to answer.
22 Aug 8, 2013 3:18 PM If done right it will work for all. For those who meet institutional level of care and are receiving HCBS it may not be needed
23 Aug 8, 2013 12:24 AM None
24 Aug 7, 2013 9:03 PM none should be exclude
25 Aug 7, 2013 6:34 PM Persons eligible for MRO and 1915(i) population.
26 Aug 6, 2013 8:39 PM traditional medicaid works best with this population.  Managed care entities currently operating in the state create unreasonable administrative workload.  Each has its own rules, procedures and requirements.  managed care requires 3-4 times the administrative workload required by traditional medicaid.
27 Aug 6, 2013 7:51 PM None to be excluded.
28 Aug 6, 2013 3:58 PM A person -centered program would provide for those folks who are in need.
29 Aug 6, 2013 3:02 PM no
30 Aug 6, 2013 12:30 AM No exclusions.
31 Aug 5, 2013 8:36 PM If covered by other plans no need to be enrolled
32 Aug 5, 2013 6:14 PM Just be firm on who ARE included.
33 Aug 5, 2013 5:49 PM Personal need should be the criteria. Many people will be "Duals" but there will also be persons who are over insured/resourced.
34 Aug 5, 2013 5:39 PM I don't think anyone should be excluded.
35 Aug 5, 2013 2:48 PM These are special populations that will require a different type of Managed Care Model than other types of needs in the other categories.