This week, our In Focus section reviews the Invitations to Negotiate (ITNs) issued on July 14, 2017, by the Florida Agency for Health Care Administration (AHCA) to re-procure its managed care vendors. The ITNs will involve separate and simultaneous regional procurements for managed care plans. Currently, approximately 4 million state residents are eligible for Medicaid—the fourth largest Medicaid population in the nation. Of those, around 3.2 million receive services through managed care plans. Medicaid-covered populations include older adults, individuals with disabilities, families, pregnant women, and children living below the poverty line. Estimated state fiscal year (SFY) 2017-18 spending for Medicaid managed care is estimated at $18.4 billion.