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Virginia General Assembly

State may shift 130,000 Medicaid recipients to managed care

Virginia officials are quietly working on sweeping change to the way care is delivered for tens of thousands of elderly and disabled Virginians.

It's an element of the intense political debate, still echoing in this year's election campaigning, over whether Virginia should expand Medicaid: the reforms that opponents said were needed before the state could consider using federal Affordable Care Act dollars to cover hundreds of thousands of low-income adults.

What state officials plan now is to move 130,000 Medicaid recipients living in nursing homes or receiving coverage for services they get at home into managed-care plans, beginning next year.

The idea is for commercial...