This week, our In Focus section reviews the request for quotes (RFQ) issued by West Virginia’s Department of Health and Human Resources, Bureau for Medical Services, for the “Mountain Health Trust” Medicaid managed care program. For the first time, West Virginia is soliciting competitive bids from Medicaid managed care organizations (MCOs) to serve nearly 370,000 current enrollees as well 78,000 Medicaid SSI enrollees who will transition to managed care on July 1, 2016.