Date of Award
Open Access Thesis
Master of Social Work (MSW)
Many states have recently begun enrolling Medicaid beneficiaries with disabilities into prepaid managed care plans. The purpose of this study was to analyze various state programs in terms of reconciling access to quality health care services for the enrollee and the financial viability for both government entities and contracted health care plans with future policy implications for Minnesota's program for those with disabilities, the Demonstration Project for People with Disabilities (DPPD). This study involved the survey of published literature of existing state Medicaid managed care programs specifically serving those with disabilities. While the future prognosis is unclear, evidence shows that this group has service needs different from other populations. The inclusion of designated consumer advocates and consensus building stakeholder meetings at all levels of programming was cited as most effective amongst state programs. Given Minnesota's proposed policy structures, DPPD appears promising, however, policy recommendations are provided. 1.) Define medical necessity. 2.) Adopt risk sharing through a risk corridor. 3.) Use inclusive evaluation research. And 4.) Maintain and ensure social responsibility.
Helt, Darrin P., "Medicaid Managed Care for Those with Disability: Analysis with Implications for Minnesota's Demonstration Project for People with Disabilities" (1998). Theses and Graduate Projects. 732.