Nixon to decide on expanding Medicaid managed care

Gov. Jay Nixon has until Friday to decide whether to sign into law a bill that would expand Medicaid managed care, shifting about 200,000 Missourians from government-funded insurance to private managed care plans.

Advocates are urging Nixon to reject the measure, which was included in the Missouri Legislature’s budget for the fiscal year that begins July 1. They say it could limit access to doctors and other medical providers.

Managed care is currently available in 53 Missouri counties, covering about 440,000 of the state’s 893,000 Medicaid recipients. The expansion would bring managed care statewide.

Missouri has three managed-care providers, including Clayton-based Centene, which has led a long-term effort to expand its business across the state.

The St. Louis Post-Dispatch

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