Medicaid Changes and LME-MCO Merger

At a glance

  • What: Federal Medicaid changes (non-citizen eligibility from 2026-10-01, work requirements from 2027-01-01) and the merger of Partners Health Management and VIA Health into VIA Partners.
  • Where it stands: Merger effective October 1; staff briefed the board, no action taken.

Log

  • 2026-09-14 - Bimonthly Morning Discussion Session - Staff briefed the board: about 130,000 county Medicaid recipients, just under 29,500 adults subject to work requirements, 700 to 800 non-citizens affected; Commissioner Wilson to sit on the merged entity's board (from auto-captions).
  • 2026-07-27 - Board of County Commissioners Briefing - Staff previewed a crisis center operating-cost agreement with the regional behavioral health manager through fiscal 2027, after the state converted the funding from federal to state allocation in April; it is still the existing manager because the merger is not complete.

Sources