Earlier this year, Frankfort politicians agreed to "balance" Kentucky's Medicaid budget by borrowing $166 million in 2012 funds to spend in 2011.
They also set out to save money in 2012 and beyond by switching to a managed care system. Of course, they are attempting to do this without reducing the state government Medicaid workforce.
Perhaps an early indication of how things are going so far comes today with news that Kentucky's Medicaid Managed Care Hotline is backed up and excess calls are being routed to Pennsylvania, where they can't be answered due to complications related to Hurricane Irene.