OLR Report 2015-R-0010 examines several states' experiences with managed care delivery systems within their Medicaid programs.
For 15 years, Connecticut used managed care systems to serve most of its Medicaid beneficiaries, before switching back to fee-for-service in 2010. Connecticut is currently one of three states that deliver Medicaid services entirely through fee-for-service systems.
Most other states use some combination of managed care and fee-for-service delivery systems. New Hampshire recently converted much of its Medicaid program from fee-for-service to managed care. New York began experimenting with managed care in the 1960s, accelerated enrollment in the 1990s, and continues to expand its managed care programs through federal waivers and amendments to its state Medicaid plan. Rhode Island has used some form of managed care for at least 20 years. South Carolina has used it since 1996.
For more information, read the full report.