Managed care is the norm for many on Medicaid. In 2005, nearly 300 plans participated in state Medicaid managed care programs, with many operating under for-profit ownership. Concerns about the impact of plan ownership on access to care arise because of differences in the incentives in place in for-profit and nonprofit organizations. Using data from the 2002 National Survey of America's Families, this study examines the link between for-profit plan ownership and enrollees' access to health care. The results suggest that access to care for Medicaid enrollees may be better under nonprofit plans than for-profit plans. (Medical Care Research and Review, 2008 Apr 22.)