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About 61,000 others in Pima County — and a few in Santa Cruz County — who rely on the state’s Medicaid program may have to face switching health-care plans.

Both Pima Health System and Mercy Care Plan lost their state contracts to provide health care to their acute-care patients in mid-May after having those contracts for more than 20 years. The losses raise questions about whether those patients will be able to keep their primary-care providers.

Arizona's Medicaid program, called the Arizona Health Care Cost Containment System, or AHCCCS, awarded its latest round of five-year acute-care-service contracts last month. The services are used by low-income families with children, pregnant women, children and disabled people.

Pima Health System, a non-profit arm of Pima County, and Mercy Care were not awarded contracts, and both requested a capped enrollment that would allow them to keep their existing members.

AHCCCS responded on June 10 by saying it couldn’t find a compelling reason for them to keep all their existing enrollees, but it would allow them to keep members who are eligible for both Medicaid and Medicare — the federal program that provides health-care assistance to those over 65.

With the cap, Pima Health System would provide acute-care service to 3,000 of its 30,000 members in Pima and Santa Cruz counties — 25,000 of whom are in Pima County.

Acute enrollment in Pima County for Mercy Care, which doesn’t serve Santa Cruz County, would plummet from 37,000 to 3,000 members.

Read the full story in Sunday's Arizona Daily Star as well as tips to help you navigate the AHCCCS insurance coverage changes.