On January 3, 2019, the West Virginia Department of Health and Human Resources (DHHR) Bureau for Medical Services (BMS) released a draft request for proposals (RFP) to move youth in foster care to a single statewide specialized managed care plan. The youth are currently in the Medicaid fee-for-service (FFS) plan, and are excluded from the state’s Mountain Health Trust (MHT) Medicaid managed care program. Reimbursement for the approximately 6,600 youth in the specialized plan will be designed using a braided funding stream, with Medicaid and Bureau for Children and Families dollars being blended to create a . . .