The document discusses options for maximizing Medicaid enrollment in Maryland under health care reform. It describes how other states and federal programs actively enrolled eligible individuals through proactive strategies like determining eligibility based on existing data sources without requiring applications. Specific policies discussed for Maryland include determining Medicaid eligibility from tax data, limiting application questions to eligibility factors, allowing individuals to request eligibility determinations, basing eligibility on receipt of other benefits, and integrating eligibility across Medicaid and the health insurance exchange. The document argues these strategies can significantly increase enrollment but that affordability still needs to be addressed so low-income individuals will enroll and utilize coverage.