This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on April 29, 2016. Missouri issued a RFP for the rebid of existing MO HealthNet contracts, as well as the expansion of MO HealthNet statewide. No changes in eligibility are included in the RFP, but enrollment could grow to more than 700,000 members when contracts go live in 2017. Meanwhile, Virginia has released a RFP for the planned managed long term services and supports (MLTSS) program, which will serve an estimated 212,000 members with complex care needs. The Virginia MLTSS program is targeting a phased implementation process throughout the second half of 2017. HMA reviews the key RFP elements and market dynamics around the RFP target populations in each state.