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Medicaid Monitor
Friday, November 13, 2026 · Updated Thu 5:36 PM MT · 46 stories on Thursday, November 12
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Fri, Nov 13 · 46 stories on Thursday, November 12PRO
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Managed Care · NYNovember 12, 2026

Anthem BCBS Drops 200+ Social Adult Daycares in New York

Elevance Health's Anthem Blue Cross and Blue Shield in New York is ending contracts with more than 200 social adult daycare facilities, according to a Nov. 5 Politico report. An Elevance spokesperson told Becker's that 120 social adult daycare providers remain in network, with termination dates spanning Jan. 1 to May 1. The spokesperson said the changes followed guidance from New York state and CMS and were made to align the network with members' service, cultural and language needs while maintaining geographic access. In New York, social adult daycares do not enroll as Medicaid providers; managed long-term care plans vet them instead, and CMS has raised concerns about state oversight of these plans amid alleged fraud among adult daycare providers.

Why it mattersManaged long-term care plans and social adult daycare providers in New York may need to reassess network participation and contracting as insurers tighten oversight amid fraud concerns raised by CMS and state regulators.

LTSS · Managed Care

Read the full article at beckerspayer.com →
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