Medicaid Managed Care Now Represents More Than Half of Program Spending
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
managed care organizations
CMS Issues New Medicaid Work Requirement Rules, Signaling Major Changes for States and Managed Care Plans
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
New Mexico Looking to Use Managed Care to Enhance Behavioral Health Services
In a policy shift, the New Mexico Human Services Department is increasing requirements on managed care organizations to address gaps in behavioral health care access, setting more rigorous standards for service provision.
Kansas Selects Three Managed Care Organizations for KanCare Services
The Kansas Department of Health and Environment has chosen three managed care organizations to administer KanCare, Kansas’s Medicaid program, from 2025 through 2027, aiming to improve healthcare accessibility and quality.
New Mexico Human Services Department Cancels Procurement for Medicaid MCOs
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).