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Medicaid Managed Care Behavioral Health Screening for New Adult Enrollees

State Medicaid programs contract with managed care organizations (MCOs) to provide health care services to enrollees. Federal regulations require MCOs to make a best effort to conduct an initial screening of each new enrollee's needs within 90 days of the effective date of enrollment. We will review selected State Medicaid agencies and their MCOs' efforts to screen new adult enrollees' needs for behavioral health services.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
October 2025 CMS Medicaid Managed Care Behavioral Health Screening for New Adult Enrollees Office of Audit Services OAS-25-02-037 2026