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

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People fiving with HIV, and their advocates, need to take action at the state lmL
In the past problems with <strong>Medicaid</strong> could often be addressed at the federal levd. As <strong>Medicaid</strong> programs
adopt managed care systems, the importance of influenring the development of contracts between state
<strong>Medicaid</strong> programs and individual managed care providem (and monitoring their enforcement) shifts
much of the action to the state level. To protect the quality of their health carem people living with HIV
should take the following actions
1. Identify and join state-level coalitions or create new coalitions of people with disabilities, advocates
for children, the elderly and others organized at the state level who depend on <strong>Medicaid</strong> for their
health carm
2. Critically examine the status of <strong>Medicaid</strong> in a particular state, and set dear and specific priorities for
consuner involvement.
3. Learn who the key players are in a particular state and develop relationships with them.
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