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CMS APPROVES MEDICAID MANAGED CARE

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The news many of you have been waiting for came last week - the federal government (Centers for Medicare & Medicaid Services, or CMS) gave Iowa the go-ahead to make the move to managed care starting April 1, 2016.

  • Click here for the Governor's news release.
  • Click here to read a letter from Iowa Medicaid Director Mikki Stier here.
  • Click here for the letter from CMS.

There have been a lot of questions about dates.  A recent communication from Iowa Medicaid (now called Iowa Health Link) provided the following information:

  • Coverage through the managed care organization (MCO) you chose or are assigned to begins April 1, 2016.
  • Members can change MCOs for any reason until June 16, 2016.
  • Member can change MCOs after that for 'good cause' such as their provider hasn't joined the MCO network.
  • All existing authorizations go through June 30, 2106 (90 days).
  • MCOs must contract with any provider willing to take their rates through September 30, 2016 (six months) for physical and behavioral health, and through March 31, 2018 for long-term services and supports (2 years).

 If you have questions, contact Iowa Medicaid Member Services at 1-800-338-8366.