After decades of having one company oversee Medicaid, the Louisville area will now have four private Medicaid providers.The Louisville area was the first part of the state to have Medicaid privatized, and Passport Health Plan has administered the program ever since.But the rest of the state has since been privatized, and multiple operators compete for patients across the commonwealth.The Cabinet for Health and Family Services announced today that Passport will now have competition from CoventryCares, WellCare and Humana.Medicaid patients will be automatically assigned by the Cabinet to their new insurance provider, with letters informing people of their provider being sent out by November 1st.The new MCOs will start managing on January 1st.