The purpose of this transmittal is to inform the Medicaid Nursing Facility providers that the Department of Health Care Finance (DHCF) is issuing an update to the Medicaid Managed Care Program’s nursing facility services coverage and outlines the roles and responsibilities of Medicaid nursing facility providers when admitting Medicaid beneficiaries enrolled in a Managed Care Organization (MCO). All changes outlined in this transmittal become effective on July 1, 2021.