The second type of service is a managed care system known as “Health Choices,” which uses managed care companies to administer the MA program. In the more populated counties of PA, the Health Choices program is used for most patients. There are approximately nine MCOs in PA that have subcontracted with DPW to administer and provide dental services. Patients covered under Health Choices are arbitrarily assigned one of these MCOs. Patients have the right to choose an MCO and may change from one plan to another at any time. In some areas of the state, both Access, Access Plus and Health Choices are available.