Medicaid managed care enrollment declined in January Apr 2, 2019 | Medicaid/Medicare, Top Stories The state’s Medicaid managed care rolls fell in January to 2.1 million, a 1.6 percent drop from the end of 2018.To access this content, you must purchase 1 Year Health News Illinois Subscription or 1 Year Group Subscription - Up to 5 Users, or log in if you are a member.