Medicaid benefits have traditionally been a fee-for-service system. However, in the past decade, there has been a move toward managed care in the delivery of Medicaid benefits.
In a managed-care delivery system, people get most or all of their Medicaid services from an organization under contract with the state. Under this system, the majority of Medicaid services are provided under one contractor. Enrollment in managed care may be voluntary or required. In an effort to be more efficient and provide community inclusion, a growing number of states are using long term services and supports (MLTSS).
Types of entities include:
For more information on the types of Medicaid managed care entities, see the Managed Care Overview on the Medicaid.gov website.