The fight over who gets to share in managing $10.7 billion worth of state Medicaid business appears to have been settled by the state Court of Appeals.

A three-judge panel has upheld the state’s 2020 selection of five companies to manage care for most of the 1.6 million Kentuckians, including 600,000 children, who are covered by the government health plan for low-income and disabled individuals.

As a result, the five health insurance companies − known as managed care organizations, or MCOs − will retain contracts with the state while Anthem Blue Cross and Blue Shield will be excluded, according to the appeals court opinion released Friday.

Under a lower court ruling in 2020, Anthem, which had filed a lawsuit after it was not selected, had been added as a sixth contractor while the legal dispute over the contracts was pending.