A proposed rule to modernize Medicaid managed care regulations—last updated in 2003—includes giving incentives for providers not covered under the electronic health records meaningful use program to adopt EHRs and health information exchange.

Medicaid programs through the years have expanded their use of managed care plans. The most recent data from 2011 showed 58 percent of beneficiaries in 39 states and D.C. accessing part or all of their benefits from a capitated health plan, according to the rule, and more adoption of managed care has come since.

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