By skyforbes 
[The following (re-posted verbatim) was part of a series of Medicaid compliance-based criticisms of the Kancare RFP (2011) submitted during the Federal open comment period]
HMOs don’t have enough experience or proven success with Home and Community Based Services (HCBS)
If managed care is implemented, it could be done so for medical only, carving out all long-term care HCBS Waiver services, allowing Kansas to harness the tools and principles of managed care to achieve cost efficiency, improved access, and quality of care outcomes. If managed care is implemented for medical services there are still multiple barriers and pitfalls to doing so, but we should not insert managed care into the already effective local-state partnership of disability services. Given the fact that almost all other states do not include HCBS Waivers in Medicaid Managed Care, HHS should require that all HCBS be carved out in the managed care program as part of any resolution of Kansas’ 1115 Waiver application.