PrecaptureMedicaid Market Intelligence

ID MEDICAID MARKET

Idaho

pre-RFP shaping

Procurement blackout begins December 1, 2026

Last verified 88 days ago

Last verified 88 days ago · unknown because newest item is older than 21 days

Current procurement

PROCUREMENT

Verification tier 2

Idaho sets December 1 blackout before comprehensive managed-care RFP

Idaho DHW and Idaho Capital Sun report that the comprehensive managed-care transition is delayed to 2030 and that a procurement blackout begins December 1, 2026. DHW separately says it expects the RFP later in 2027.

Precapture analysis

The remaining pre-blackout period is a defined market-shaping window for Idaho-specific rural access, workforce, LTSS, claims-readiness and provider-experience evidence.

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 26
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
not reportedBlue Cross of Idahonot reported4,633 (2024)55.2% calculated6 sanctions, 1,617 appeals resolved
CenteneMagellan of Idahonot reported286,845 (2024)100.0% calculatednot reported
not reportedHealthy Connectionsnot reported254,791 (2018)100.0% calculatednot reported
not reportedMultiple Primary Care Providersnot reported276,411 (2017)100.0% calculatednot reported
not reportedMultiple Primary Care Providersnot reported250,506 (2024)100.0% calculatednot reported
show all 26
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
not reportedMCNA (Managed Care of North America, Inc.)not reported308,110 (2024)100.0% calculatednot reported
not reportedMCNA Dentalnot reported290,463 (2017)100.0% calculatednot reported
not reportedMTM (Medical Transportation Management)not reported308,110 (2024)100.0% calculatednot reported
not reportedIdaho Smilesnot reported272,979 (2018)100.0% calculated233 appeals resolved
not reportedNon-Emergency Medical Transportationnot reported272,979 (2018)100.0% calculatednot reported
MolinaMedicare/Medicaid Coordinated Plannot reported3,799 (2018)100.0% calculatednot reported
MolinaMolina of Idahonot reported3,760 (2024)44.8% calculated6 sanctions, 624 appeals resolved
UnitedHealthIdaho Behavioral Health Plannot reported269,240 (2018)100.0% calculatednot reported
UnitedHealthOptum Idahonot reported290,463 (2017)100.0% calculatednot reported
UnitedHealthUnited Healthcare/Optum Idahonot reported367,563 (2021)100.0% calculatednot reported
UnitedHealthUnited Healthcare/Optum Idahonot reported378,435 (2022)100.0% calculatednot reported
UnitedHealthUnitedHealthcare/Optum Idahonot reported331,761 (2023)100.0% calculatednot reported
not reportedNon-Emergent Medical Transportationnot reported292,732 (2017)100.0% calculatednot reported
not reportedBlue Cross of Idaho Care Plus, Inc.not reported2,326 (2016)100.0% calculatednot reported
not reportedHealthy Connectionsnot reported289,464 (2020)100.0% calculatednot reported
not reportedIBHPnot reported261,018 (2016)100.0% calculatednot reported
not reportedIdaho Smilesnot reported278,157 (2016)100.0% calculatednot reported
not reportedMedicare-Medicaid Coordinated Plannot reported2,290 (2017)100.0% calculatednot reported
not reportedMultiple Primary Care Providersnot reported340,606 (2021)100.0% calculatednot reported
not reportedMultiple primary care providersnot reported0 (2016)not reportednot reported
not reportedNEMTnot reported262,829 (2016)100.0% calculatednot reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Healthy Connections (PCCM)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Multiple Primary Care ProvidersIdaho MedicaidIdaho MedicaidStatewideCMS reported 250,506 (2024)100.0%not reportednot reported2022: 328,976; 2024: 250,506

Healthy Connections (Primary Care Case Management (PCCM))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Healthy ConnectionsMultiple ProvidersunmatchedStatewidenot reportednot reportednot reportednot reported2018: 254,791; 2019: 247,524; 2020: 289,464
Multiple Primary Care ProvidersIdaho MedicaidIdaho MedicaidStatewidenot reportednot reportednot reportednot reported2017: 276,411; 2021: 340,606; 2023: 304,189
Multiple primary care providersnot reportedunmatchednot reportednot reportednot reportednot reportednot reported2016: 270,113

Healthy Homes (Primary Care Case Management (PCCM))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Multiple primary care providersnot reportedunmatchednot reportednot reportednot reportednot reportednot reported2016: 0

Idaho Behavioral Health Plan (BHO only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Magellan of IdahoMagellan HealthcareCenteneStatewideCMS reported 286,845 (2024)100.0%not reportednot reported2024: 286,845
UnitedHealthcare/Optum IdahoUnitedHealthcare/Optum IdahoUnitedHealthStatewidenot reportednot reportednot reportednot reported2023: 331,761

Idaho Behavioral Health Plan (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
IBHPnot reportedunmatchednot reportednot reportednot reportednot reportednot reported2016: 261,018
Idaho Behavioral Health PlanUnitedHealthcareUnitedHealthStatewidenot reportednot reportednot reportednot reported2018: 269,240
Optum IdahoUnited HealthcareUnitedHealthStatewidenot reportednot reportednot reportednot reported2017: 290,463
United Healthcare/Optum IdahoUnited Healthcare/Optum IdahoUnitedHealthStatewidenot reportednot reportednot reportednot reported2019: 264,723; 2020: 321,628; 2021: 367,563

Idaho Behavioral Health Plan (Behavioral Health Organization (BHO) only (PIHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
United Healthcare/Optum IdahoUnited Healthcare/ Optum IdahoUnitedHealthStatewidenot reportednot reportednot reportednot reported2022: 378,435

Idaho Medicaid Plus (Comprehensive MCO + MLTSS)

Idaho Medicaid Plus (Comprehensive MCO + MLTSS) 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Clearwater, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington, and Valley Countiesnot reportednot reportednot reportednot reported2022: 7,312
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls Countiesnot reportednot reportednot reportednot reported2020: 7,486
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls countiesnot reportednot reportednot reportednot reported2021: 6,935
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, Twin Falls Countiesnot reportednot reportednot reportednot reported2019: 2,945
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoCounties: Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Clearwater, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington, ValleyCMS reported 4,633 (2024)55.2%-1,114 (-19.4%)-1.1 pts2023: 5,747; 2024: 4,633
show all 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls Countiesnot reportednot reportednot reportednot reported2022: 5,939
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, Twin Falls Countiesnot reportednot reportednot reportednot reported2019: 2,550
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls Countiesnot reportednot reportednot reportednot reported2020: 5,980
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls countiesnot reportednot reportednot reportednot reported2021: 5,646
Molina of IdahoMolina of IdahoMolinaCounties: Ada, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Idaho, Jefferson, Kootenai, Latah, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Twin Falls, WashingtonCMS reported 3,760 (2024)44.8%-699 (-15.7%)+1.1 pts2023: 4,459; 2024: 3,760

Idaho Medicare-Medicaid Coordinated Plan (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Blue Cross of Idaho Care Plus, Inc.not reportedunmatchedAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Fallsnot reportednot reportednot reportednot reported2016: 2,326

Idaho Non-Emergent Medical Transportation (Non-Emergency Medical Transportation)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
NEMTnot reportedunmatchednot reportednot reportednot reportednot reportednot reported2016: 262,829

Idaho Smiles (Dental only (PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Idaho SmilesManaged Care of North America (MCNA), Inc.Managed Care of North America (MCNA), Inc.Statewidenot reportednot reportednot reportednot reported2018: 272,979
Idaho Smilesnot reportedunmatchednot reportednot reportednot reportednot reportednot reported2016: 278,157
MCNA (Managed Care of North America, Inc.)MCNA (Managed Care of North America, Inc.)MCNA (Managed Care of North America, Inc.)StatewideCMS reported 308,110 (2024)100.0%-46,718 (-13.2%)0.0 pts2019: 289,155; 2020: 344,074; 2021: 391,216; 2023: 354,828; 2024: 308,110
MCNA DentalMCNA (Managed Care of North America, Inc.)MCNA (Managed Care of North America, Inc.)Statewidenot reportednot reportednot reportednot reported2017: 290,463

Idaho Smiles (Dental only PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MCNA (Managed Care of North America, Inc.)MCNA (Managed Care of North America, Inc.)MCNA (Managed Care of North America, Inc.)Statewidenot reportednot reportednot reportednot reported2022: 404,124

Medicare-Medicaid Coordinated Plan (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Medicare-Medicaid Coordinated PlanBlue Cross of Idaho Health Service, Inc and Molina Healthcare of IdahounmatchedAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls counties. Blue Cross of Idaho administers the MMCP in additional Idaho counties, including Boise, Boundary, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Madison, Minidoka, Owyhee, Payette, and Power.not reportednot reportednot reportednot reported2017: 2,290

Medicare/Medicaid Coordinated Plan (Comprehensive MCO + MLTSS)

Medicare/Medicaid Coordinated Plan (Comprehensive MCO + MLTSS) 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Twin Falls Countiesnot reportednot reportednot reportednot reported2019: 5,092
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls Countiesnot reportednot reportednot reportednot reported2020: 6,265
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls countiesnot reportednot reportednot reportednot reported2021: 6,989
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoCounties: Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark , Clearwater, Elmore, Fremont, Gem, Gooding, Idaho, Jefferson, Jerome, Kootenai, Latah, Lemhi, Lewis, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington, Valleynot reportednot reportednot reportednot reported2023: 7,771
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoCounties: Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Clearwater, Elmore, Fremont, Gem, Gooding, Idaho, Jefferson, Jerome, Kootenai, Latah, Lemhi, Lewis, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington, ValleyCMS reported 7,681 (2024)59.7%not reportednot reported2024: 7,681
show all 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Medicare/Medicaid Coordinated PlanMolina HealthcareMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls Counties. Blue Cross of Idaho administers the MMCP in additional Idaho counties, including Boise, Boundary, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Madison, Minidoka, Owyhee, Payette, and Power Counties.not reportednot reportednot reportednot reported2018: 3,799
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, Twin Falls Countiesnot reportednot reportednot reportednot reported2019: 1,643
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls Countiesnot reportednot reportednot reportednot reported2020: 5,980
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls countiesnot reportednot reportednot reportednot reported2021: 4,033
Molina of IdahoMolina of IdahoMolinaCounties: Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Gooding, Idaho, Jefferson, Jerome, Kootenai, Latah, Lemhi, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Valley, WashingtonCMS reported 5,182 (2024)40.3%+92 (+1.8%)+0.7 pts2023: 5,090; 2024: 5,182

Medicare/Medicaid Coordinated Plan (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Blue Cross of IdahoBlue Cross of IdahoBlue Cross of IdahoAda, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Clearwater, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Washington, and Valley Countiesnot reportednot reportednot reportednot reported2022: 7,713
Molina of IdahoMolina of IdahoMolinaAda, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls Countiesnot reportednot reportednot reportednot reported2022: 4,725

Non-Emergency Medical Transportation (NEMT)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MTM (Medical Transportation Management)MTM (Medical Transportation Management)MTM (Medical Transportation Management)StatewideCMS reported 308,110 (2024)100.0%-46,718 (-13.2%)0.0 pts2023: 354,828; 2024: 308,110

Non-Emergency Medical Transportation (Non- Emergency Medical Transportation)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MTM (Medical Transportation Management)MTM (Medical Transportation Management)MTM (Medical Transportation Management)Statewidenot reportednot reportednot reportednot reported2022: 404,124

Non-Emergency Medical Transportation (Non-Emergency Medical Transportation)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
MTM (Medical Transportation Management)MTM (Medical Transportation Management)MTM (Medical Transportation Management)Statewidenot reportednot reportednot reportednot reported2019: 289,155; 2020: 344,074; 2021: 391,216
Non-Emergency Medical TransportationMedical Transportation Management, Inc.Medical Transportation Management, Inc.Statewidenot reportednot reportednot reportednot reported2018: 272,979
Non-Emergent Medical TransportationVeyoVeyoStatewidenot reportednot reportednot reportednot reported2017: 292,732

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 6
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
Idaho SmilesManaged Care of North America (MCNA), Inc.Dental Smiles233not reportednot reported4792.02%98.54%
United Behavioral HealthunmatchedIdaho Behavioral Health442not reportednot reported28100%90.8%
Blue Cross of IdahoBlue Cross of IdahoIdaho Medicaid Plus (IMP)60900.0% calculated142.3%2.3%
Molina of IdahoMolinaIdaho Medicaid Plus (IMP)34710430.0% calculated751.5%1.5%
Blue Cross of IdahoBlue Cross of IdahoMedicare-Medicaid Coordinated Plan99265966.4% calculated1392.3%2.3%
show all 6
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
Molina of IdahoMolinaMedicare-Medicaid Coordinated Plan27222281.6% calculated61.5%1.5%

Sanctions (2024)

PlanParentTopicDateCorrective action planRemediation status
Blue Cross of IdahoBlue Cross of IdahoReporting (timeliness, completeness, accuracy)2024-01-01NoNo, no remediation
Molina of IdahoMolinaReporting (timeliness, completeness, accuracy)2024-01-01NoNo, no remediation
Blue Cross of IdahoBlue Cross of IdahoReporting2025-01-01NoNo, no remediation
Molina of IdahoMolinaReporting2024-01-01NoNo, no remediation

Award history

not published by state. No official award, score, or protest was retrieved for this state on 2026-11-03. Award history

Early procurement signals

  • forecast Idaho says the managed care RFP timeline is not yet available: suggested. The department will share more information about the Request for Proposal posting timeline when available.. The Idaho Department of Health and Welfare says the legislature passed House Bill 345 in March 2025 to move Medicaid from fee-for-service to a managed care model. The same page says the shift has been delayed and that the department will share the Request for Proposal posting timeline when available. No posting day is printed. This catalog does not include the bill text or the Request for Information summary the page says is available for review. Idaho. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.

Coverage: not_collected. Source receipts: 1 changed at 2026-11-15T10:15:35+00:00. Sources and dates

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 1

Source receipts: 1 unchanged at 2026-11-15T11:15:54+00:00.

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.