New contracts signed with managed care organizations

Governor Kim Reynolds

The State of Iowa has signed new contracts with managed care organizations.

Amerigroup Iowa and Iowa Total Care will continue to provide services to Iowans most in need. The contracts can be found here.

New protections are included in the contracts for Long-Term Services and Supports (LTSS) members. These protections include key requirements related to level of care assessments to ensure additional quality oversight for LTSS members. Additional protections have also been added for providers related to credentialing and claim payment system issues.

The new contracts incorporate important policy changes and legislative requirements from this past session. This includes additional funding for providers, including nursing facilities, Federally Qualified Health Centers (FQHCs), Intermediate Care Facilities for the Intellectually Disabled (ICF/ID), Rural Health Clinics (RHCs), and increased access to services.

“Medicaid members and providers can be assured that both, Amerigroup and Iowa Total Care, are here to serve Iowans for the long term. These new contracts demonstrate a commitment to those we serve including greater access to Hepatitis C treatment and additional funding for the adult mental health and children’s mental health systems,” said Medicaid Director Michael Randol.

Under the new contracts, the State will be increasing Medicaid funding by 6.5%. These rates are actuarially sound, are based on actual experience and include legislative and policy changes.

“With additional funding for nursing homes, mental health services, and health care providers, this agreement provides Iowans compassionate, integrated, and coordinated health care options. The negotiated contract ensures greater health care access for those who need it and demands more accountability from the managed care organizations involved in the program,” said Governor Reynolds.

For more details on the new contracts, view the summary document found here.