MONTGOMERY — A plan to massively overhaul the state’s Medicaid system is going to the governor for review.

Gov. Robert Bentley’s Alabama Medicaid Advisory Commission approved Tuesday the plan after about three months of study that would turn Medicaid, used by more than 900,000 low-income and disabled Alabamians, into a managed-care system.

This year, the state will spend more than $600 million on Medicaid, and the amount grows each year. The commission’s goal is to look at ways to contain those costs, including keeping people out of emergency rooms for primary care and better preventative care.

Dr. Don Williamson, state health officer and commission chairman, said after the plan’s approval that for Medicaid patients it will feel more like “comprehensive care,” whereby patients are directed toward general physicians instead of ERs for basic care, and those with diabetes are given blood monitors to better control the disease before a doctor’s care in necessary.

The committee consisted of lawmakers, medical professionals and government officials.