CNC · 10-Q · 2026Q1 · Full report

State Medicaid contracts & protests

CENTENE CORP · 2026-04-28 · Importance 51 · Surprise 42

Centene disclosed multiple state Medicaid contract commencements and procurements: SilverSummit began a Nevada Medicaid managed care contract in January 2026 (five‑year term plus an optional two‑year extension), Health Net Community Solutions began a 54‑month Medi‑Cal managed dental contract in January 2026, Iowa Total Care began a four‑year Iowa Health Link contract in July 2025 (plus optional two years), Magnolia Health Plan began a four‑year Mississippi Coordinated Care Organization contract in July 2025 (plus two optional one‑year extensions), and Sunshine Health commenced an expanded Statewide Medicaid Managed Care program in February 2025 with a six‑year term. Centene also reports selection and procurement issues: Arizona's ALTCS award was canceled after a prolonged protest with a rebid expected in late summer 2026 and a new contract effective October 2027; New York will terminate Essential Plan‑5 by July 1, 2026; Centene was not selected to continue Florida Children's Medical Services (contract ends September 2026) and is protesting procurement results in Georgia and Texas. Management warns unsuccessful protests could materially impact future results, cash flows and membership.