People in nursing homes, hospice or the Long Term Home Health Care Program, including long term demonstration programs
Residents of State psychiatric or residential treatment facilities for children and youth
People receiving mental health family care services
People who will be eligible for less than six months (such as seasonal farm workers)
People who become eligible for Medicaid only after spending some of their income for medical services
A person with private health insurance if the private insurance costs less than a Medicaid managed care plan
A premature infant eligible for SSI whose mother was not getting Medicaid when the infant was born
Homeless persons living in New York City shelters
Infants living with their mothers in jails or prisons

These people can decide IF they want to join a managed care plan:

People with HIV infection
People in alcohol and drug abuse residential programs
Pregnant women already getting prenatal care from a physician who does not belong to any Medicaid managed care plan
Residents in facilities for the mentally retarded and people with similar needs
Some developmentally disabled people or physically disabled children who receive care at home or in the community through existing waiver programs and those whose needs are similar
Native Americans
People with chronic medical conditions being treated by a specialist who is not part of a Medicaid managed care plan
Children diagnosed with serious emotional disturbance and adults diagnosed with serious mental illness
People who have a doctor who speaks their primary language and no plan has a doctor who speaks this language