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Clay County moves Special Needs Basic Care program to Public Health as UCare narrows coverage
Summary
The Clay County Board approved moving Special Needs Basic Care (SNBC) care coordination fully into Public Health effective Jan. 1, 2026, after UCare said it will drop its integrated SNBC product in most counties.
The Clay County Board of Commissioners voted Oct. 21 to move the county's Special Needs Basic Care (SNBC) managed-care coordination fully into the public health department effective Jan. 1, 2026.
SNBC serves adults ages 18'64 who have both Medicare and Medicaid (medical assistance). Jessica (last name not provided), who presented the item, said UCare notified counties that it will stop offering its integrated SNBC product in most Minnesota counties, which will force affected members to enroll in non-integrated plans or revert to fee-for-service Medicaid. The change, she said, will likely reduce SNBC enrollment in Clay County by an estimated 15% to 30% and shift administrative burdens back to county staff.
Commissioners were told Clay County…
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