Appalachian Regional Healthcare officials were back in federal court Thursday.
They are calling on state officials to explain why they are not accepting Medicaid transfers after Coventry wanted to break its contract with ARH.
ARH is educating their patients that as of November first, they will no longer have a contract with Coventry Cares.
Thousands of those patients have already sent in transfer request to the state, but they have not been granted.
Officials at the Cabinet for Health and Family Services said the transfers are not being granted because there is no for cause reason since Coventry still has a contract with ARH.
They testified that it would make more sense to wait until the open enrollment period which starts on August 20th.
During the hearing though, federal judge Karl Forester asked all parties present what managed care means.
He says that from his experience with this case, he sees a lot of unmanaged care going on.
A federal judge said he should make his decision within the week.
Coventry was also at the hearing, but this subject does not directly affect them.