More than half a million Illinois residents on Medicaid are about to see major changes in their coverage as the state slashes in half the number of insurers in its Medicaid managed care program.

The Illinois Department of Healthcare and Family Services announced Friday that it has selected six insurers to be part of Gov. Bruce Rauner’s planned overhaul of the program, down from the 12 now participating. In Medicaid managed care, private insurers administer Medicaid benefits, whereas the state administers benefits in traditional Medicaid.

The state has selected BlueCross BlueShield of Illinois, Harmony Health Plan, IlliniCare Health, Meridian Health Plan, Molina Healthcare and CountyCare Health Plan to participate for the next four years.

That means Aetna Better Health of Illinois and NextLevel Health have not been selected for the program. Aetna previously had threatened to exit the program if the state couldn’t figure out how to pay it. An Aetna spokesman declined to comment Friday.

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Illinois names 6 insurers to take part in overhauled Medicaid managed care