The purpose of this report is to assess the impacts of Kentucky’s Medicaid managed care program. The key components of this assessment include:

• Cost impacts of the Medicaid managed care program across the past two decades

• Performance on key quality measures

• Opioid and medication-assisted treatment (MAT) prescription drug usage trends

• Kentucky’s recent experience with COVID-19 vaccinations

• Minimum contract requirements for managed care organizations (MCOs) to participate in Kentucky’s Medicaid program

• Competitive procurement dynamics