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Idaho Medicaid to Be Privately Managed in 2029, Health Officials Officials Expect

  • Idaho plans to shift its Medicaid program to private managed care beginning in 2029, following legislative directives and years of preparation.
  • This change responds to federal managed care requirements, aims to create competition for efficiencies, and replaces current contractor arrangements.
  • State officials emphasize the complexity and risks, noting high turnover and that earlier implementation before 2027 or 2028 would be too risky.
  • Idaho Medicaid currently covers about 260,000 residents, with only 6% in managed care, and the new contract will assign benefits to three different companies.
  • The transition suggests significant system changes ahead, with implications for cost control, access, and administration, while stakeholders continue addressing complex policy issues.
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NCWLIFE broke the news in on Monday, June 2, 2025.
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