FSSA Releases Draft Report Concerning Managed Care for the Indiana Medicaid Aged, Blind and Disabled Population

FSSA released a draft Aged, Blind and Disabled Managed Care report that is due to the General Assembly on December 15th (click here for the draft report).  The report concludes that neither Risk Based Managed Care nor Managed Fee For Service would result in savings for the State if all ABD groups were enrolled in either program (see Table 31, page 73). 

The report provides several scenarios of carve-outs (exclusions) to each program in order to realize a savings to the State, including carving-out nursing facilities.  The report also indicates that Risk Based Managed Care and Managed Fee For Services provide high potential for improved care coordination and availability of enhanced services since those services would not be tied to the State Plan Amendment.  The report specifically includes discussion of carving-out nursing facility (institutional) care, and details concerns with loss of UPL supplemental payments and QAF payments.

Once the final report is issued, IHCA will ensure it is distributed to members.  Contact Zach Cattell at zcattell@ihca.org or 317-616-9001 with any questions.