Managed care

Important! On January 1, 2017, the Health Care Authority (HCA) changed the process for managing Apple Health (Medicaid) benefits for clients with other primary health insurance. Learn about these changes.

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 in April 2016. 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

Medicaid plan selection for Medicaid clients

Successful Apple Health applicants can now choose a health plan immediately upon receiving benefits. See more information about Medicaid plan selection.