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"New York State plans to move Medicaid services for children in foster care from fee-for-service (FFS) to managed care, starting in April 2013. The state’s plan ultimately affects about 22,000 children. The shift will start with children in foster homes directly supervised by local Departments of Social Services (DSS), about 6,000 children. Enrollments will start in upstate New York; the state anticipates enrolling about 2,130 in these counties within six months. Children enrolled in the Bridges to Health (B2H) Medicaid home and community-based services (HCBS) waiver program; and foster children designated as having a developmental disability are exempt from mandatory managed care enrollment..."