Pa. set to start mandatory managed care for people who are eligible for both Medicare and Medicaid

A big change is in the works for people who are eligible for both Medicare and Medicaid. Starting in January, 127,000 Medicaid recipients in Southeastern Pennsylvania who also get Medicare will have to get their Medicaid coverage from one of three managed-care plans. New rules apply as well to about 14,000 people who have Medicaid alone and receive long-term care services.