The Pennsylvania Department of Human Services (DHS) is moving forward toward a goal of July 1, 2022 transition to 2022 managed care organization (MCO) assignments. The changes are significant in several ways: the current plan assignments have been in place since 2012 because of disputes, court cases, and more; there are more MCOs that will be serving all zones statewide, including some like Geisinger Health Plan and HealthPartners Plan that have previously only served a single zone; and perhaps most importantly, more than 400,000 individuals will either need to choose a new plan or will be auto-assigned to one.