HOWELL - Gov. Chris Christie (R-N.J.) says Medicaid spending in New Jersey is "out of control." He says he wants to cut $450 million from the health insurance plan for the poor.

One of Christie's ideas to save money is to transfer 121,000 seniors on Medicaid to a managed care program.

A managed program would potentially cut costs and employees with the program would decide whether services are medically necessary.

Social worker Ann Albano, who helps seniors at the Howell Township Senior Center, says a managed care plan may require patients to see in-network doctors for coverage, which may be difficult for seniors who have long-standing relationships with their doctors.

AARP New Jersey says managed care for Medicaid could be a good thing as long as services are not cut.