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Three managed care organizations (MCOs) started managing the care to 560,000 Iowans on April 1, as the state made the transition to what supporters call "Medicaid modernization."   Changes this big are challenging, so everyone expects that there will be issues that arise.  What is important is that you communicate those issues, so they can be addressed quickly.  Here are some resources and information that can help.

Managed Care Organizations (MCOs) will offer health coverage to most Medicaid recipients and work directly with them regarding their coverage beginning April 1.

  • Amerigroup Iowa (1-800-600-4441; www.myamerigroup.com/IA) 
  • AmeriHealth Caritas (1-855-332-2440; www.amerihealthcaritasia.com)
  • UnitedHealthcare Plan of the River Valley (1-800-464-9484; www.UHCCommunityPlan.com/ia)

Medicaid Member Services will assist Medicaid recipients with questions and concerns about health care coverage, MCO enrollment, and which MCOs their health care provider has signed up with.

  • 1-800-338-8366 (toll-free)
  • 515-256-4606 (local)
  • www.IAHealthLink.gov
  • IMEMemberServices@dhs.state.ia.us

Iowa Medicaid Provider Services will enroll health care providers with Iowa Medicaid and assist with eligibility and MCO questions. Providers must contract with MCOs to be reimbursed for health care services to Medicaid members.

  • 1-800-338-7909 (toll-free)
  • 515-256-4609 (local)
  • IMEProviderServices@dhs.state.ia.us 

MCOs also have provider services hotlines to answer questions from Medicaid providers.

  • Amerigroup Iowa (1-800-454-3730)
  • AmeriHealth Caritas Iowa (1-855-287-7855)
  • UnitedHealthcare Plan of the River Valley (1-888-650-3462)

Do not forget about your legislators.  They can be your best advocates if you are not getting the responses you expect from Medicaid or your MCO. They have the power to make changes in Iowa law to make the system work better for you, and they can sometimes get answers quicker because of this power.  And don't forget to let them know when things work well!  You can find out who your legislators are here, and communicate with them here.