Programs & services

Managed care

Important!  Changes are coming to Apple Health coverage in January 2020. View the coverage map for more details

Managed care explained

Most Apple Health Medicaid clients are covered through "managed care." Managed care is a prepaid, comprehensive system of medical and health care delivery. It includes preventive, primary, specialty and ancillary health services.

The term "managed care" is used to describe a variety of techniques intended to:

  • Reduce the cost of providing health benefits.
  • Improve the quality of care.
  • Deliver health care organized around managed care techniques and concepts.

Changes to managed care

The Health Care Authority (HCA) implemented changes to the Apple Health managed care program. Learn more about these changes.

How can I become a managed care provider?

To provide care for a client enrolled in managed care, providers are required to contract with the client’s health plan.

Learn more and contact our contracted health plans.

Managed care programs