Alabama Medicaid Commissioner, Stephanie Azar, is talking about the uncertainty of switching the program to managed care. Alabama has been working since 2013 on a plan to shift some of the state’s Medicaid patients to managed care provided by Regional Care Organizations. Right now, the changeover is set for October 1 due to uncertainty over funding. Azar added that federal officials will withdraw the waiver if the state does not implement the regional care program by the deadline. She also said the state Medicaid program will need an increase of about $44 million in the budget. Lawmakers will begin writing in the session that begins next week.