Pennsylvania Supreme Court Rules Medicaid Managed Care Rates Are Public Information

On October 27, 2015, the Pennsylvania Supreme Court ruled that the state Department of Human Services (DHS) must release contracts showing how much Medicaid managed care organizations (MCOs) pay to dental and medical subcontractors and individual provider organizations. The ruling reversed a lower court ruling that protected the MCOs from releasing the rates paid to subcontractors. However, the ruling did not go deeper, to require that DHS disclose the rates that the MCO subcontractors pay to individual dental provider organizations.

In June 2011, the Public Interest Law Center (Center) filed two public information requests with DHS (then the Pennsylvania Department . . .