This week, Pennsylvania’s Department of Human Services expects to award Medicaid contracts worth more than $7 billion annually that cover almost 421,000 low-income, disabled adults. But the contracts were scheduled to be awarded in June, raising questions about why state officials have dragged their feet.The new program, Community HealthChoices, is Pennsylvania’s managed long-term supports and services, or MLTSS. Low-income people enrolled in MLTSS have both Medicare and Medicaid coverage, and they usually need intensive care. Like other privatized healthcare programs, the state will pay insurers to manage the care of those beneficiaries.