With several states issuing requests for proposals (RFPs), 2022 is shaping up to be a solid year for payers pursuing new Medicaid contract awards. Iowa is looking for up to four MCOs to serve Iowa Health Link, up from its current two, and Tennessee’s awards could come by year-end. As for the most hotly competitive RFPs, eyes will be on California and Texas as they prepare to begin the procurement process for contracts that will cover about 3.5 million and 4.3 million lives, respectively. Meanwhile, previous contract awards in Kentucky, Louisiana and the District of Columbia have caused considerable controversy and sparked ongoing legal challenges between payers and state Medicaid officials, prompting rebids. Below, see an overview of key RFPs that are expected to be issued or awarded in the coming months.