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HSD denies Lovelace Medicaid appeal

ALBUQUERQUE, N.M. — The state Human Services Department has denied a Lovelace Health Plan appeal of HSD’s February rejection of the company’s bid to provide Medicaid managed care services under a $4 billion state contract that begins Jan. 1.

The plan will continue to provide Medicaid managed care to 74,000 people under its existing contract for the rest of the year, and the insurance company’s parent, Lovelace Health System, will continue to provide medical services to Medicaid members after Jan. 1, system CEO Ron Stern said Friday.

Stern said that whether Lovelace will take other action to win a share of state Medicaid business is “under review.”

He added that Lovelace employs 45 to 50 people in its Medicaid-related insurance business and is trying to identify “other opportunities for those people in the system.”

HSD selected Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan, and United-Healthcare Community Plan of New Mexico to manage Medicaid recipients’ care.