Eligibility
• What are the Current Medicaid eligibility levels for your state?

Administration
• Has your state recently undergone a shift to Medicaid managed care? If so, how has the transition gone?
• Is there adequate access to pediatricians?
• What kind of relationship do you have with the Medicaid administrators in your state?

Political Support
• Has your state expanded Medicaid in the past? If so, what was the opposition and who supported it? Would you expect the same opposition and support if your state chose to use the funds to expand Medicaid?
• Who are the "champions" for the Medicaid program in the state legislature and/or the governor’s office?
• In general, how is the Medicaid program perceived in your state by:

Eligibility
• How much overlap is there with the SCHIP eligible population?

Benefits
• Is the benefits package comprehensive?
• Would it need to be expanded to meet SCHIP requirements?

Children with Special Health Care Needs
• Are there many children with special health care needs in the program?
• Are they able to get the services they need through this program?

Coordination with Medicaid
• How well does your state program coordinate enrollment with Medicaid? Are there many Medicaid eligible children enrolled in this program?
• Do participants shift regularly between enrollment in this program and enrollment Medicaid?
• Are the same income eligibility methods used as for Medicaid?
• Do the same pediatricians and other providers participate?

Cost Sharing
• Does your program include cost-sharing and will the structure need to be changed to meet the federal requirements?

Access
• Is there adequate participation by health plans and pediatricians
• Is there a waiting list for enrollment or has enrollment lagged behind predictions?

Patient Satisfaction
• Is there high patient satisfaction? Do patients prefer this program to Medicaid?

Patient Protections
• Is there an effective grievance process for patients and physicians?

Administration
• Has the program managed growth in enrollment and coverage area over time effectively?
• Do you have a good working relationship with the administrators?
• Is this program easier or more difficult for physicians and patients to work with?
• What kind of data collection and reporting is required?

• Has the governor already made any statements regarding his or her intentions?
• In the last legislative session, did the governor and/or the state legislature propose any child health initiatives?
• Is there an approach -- Medicaid expansion, creation of a state health insurance program -- that has regularly failed in the state legislature?
• Is there strong anti-government sentiment in the state?
• Have any of the state’s business leaders made public comments in support or opposition to a particular approach.