Roughly 240,000 more Missouri Medicaid recipients are being switched to a system under which private companies oversee patient care.
The system, called managed care, will be expanded statewide Monday. About 500,000 Missourians in 54 counties along I-70 already had health care under that model.
The rest received care under a fee-for-service model. Under that system, physicians are reimbursed as patients are treated.
Missouri seniors, the blind and people with disabilities on Medicaid will not be impacted by the change.