Medicaid Managed Care - U.S. Senate Special Committee on Aging

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federal government and not at state welfare offices. This complicates enrollment
both by sharply decreasing the usefulness of welfare offices as a venue for
enrollment activities and by reducing the access states and their contracted
enrollment brokers have to information about new beneficiaries. Although states
continue to use the same strategies as those discussed in Volume 11 to educate
members of special populations (Chart E) these complications mean that members
of these populations are more likely to be reached by less personalized forms of
outreach such as the mail and brochures/flyers. This is also an explanation for the
slightly heavier use of consumer groups in those states with managed care programs
that serve the elderly or persons with disabilities.
Oregon Model
In addition to heavier use of consumer groups in the enrollment process, at least
one state has responded to the problem of 'finding' those elderly and persons with
disabilities who need to enroll into managed care programs through working with
Clurt E
Natioal Academy forState Health Policy
<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>
State Client Education Strategies
another state agency that is
in more direct contact with
these beneficiaries. In
Oregon the Senior and
{j d
Pi e contractingDisabled Services Division
(SDSD) is responsible for
outreach, choice
Use ofcoumer 47 counseling, enrollment
U-Ps efco ..II44% ri e
nand eligibility
3997 %ns-S determination activities
for elders and people with
Telephon .0 .Io
-5% e l.I7 disabilities. The state
agency uses a combination
Sigs/posters 13of
-22
state workers and Area
Agencies on Aging to
TV/Radio n.o perform these functions.
ads/Sloards/Publ 1 c
During the initial
_13 4 n S ~l~implementation,
Videotapes 73 -14 temporary workers were
63%ps-24 added to handle the high
_99%-17 volume of activity. The
Brochures/flyenr n40 training curriculum for all
89% - staff was developed by the
79S" ni5 Oregon Medical Assistance
Edcoiroo sessions n-ItProgram 72%
(OMAP) and
- SDSD with consultation
76%
0% 10 20% 30% 950 40% 60% 70% 80% 90% 100% from health plans.
Percent of States
The National Academy for State Health Policy * 0 8/97 IV-55
. .