Which beneficiaries are required to select and enroll in a managed care plan under Medicaid?

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The requirement for beneficiaries to select and enroll in a managed care plan under Medicaid typically applies to all Medicaid beneficiaries. This means that individuals receiving Medicaid must navigate the managed care system as a condition of their enrollment to ensure they receive appropriate health coverage. Managed care aims to streamline services, ensure coordinated care, and manage costs effectively within the Medicaid program.

While other groups may have specific enrollment criteria or considerations, like dual eligible individuals who are eligible for both Medicare and Medicaid, they are not universally required to select a managed care plan under Medicaid in the same manner as all Medicaid beneficiaries. Moreover, being under 18 does not solely determine managed care enrollment, nor does Medicare eligibility since it applies to a different program than Medicaid. Thus, the comprehensive requirement for enrollment distinctly identifies all Medicaid beneficiaries as responsible for choosing a managed care option.

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