576 long term services and support facility contracts, over 4,500 home and community based wavier provider contracts and 99% of pharmacies have signed contracts with a managed care organization
“I am encouraged that over 12,000 provider contracts have been signed since November 1st,” said Branstad. “576 long term services and support facility contracts have been signed with a managed care organization (MCO) along with over 4,500 home and community based waiver provider contracts and 99% of pharmacies in the current Iowa Medicaid network have signed contracts with a managed care organization. We are proud of our progress and we will keep working to serve Medicaid patients.”
“We have taken a common sense approach by working together to serve our most vulnerable Iowans and I look forward to delivering our patient-centered Medicaid plan beginning on January 1, 2016,” Lt. Gov. Reynolds said. “Iowa has learned best practices from 30 other states who have taken steps to modernize Medicaid. Iowa’s phased-in approach ensures a smooth transition starting on day one for all Medicaid patients. On January 1st, Iowa’s Medicaid patients will have access to 100% of the current Medicaid network demonstrating 100% network adequacy.”
For the first two years, Medicaid patients who receive long-term care services and supports (LTSS) can keep those same services even if their provider is out-of-network. Those services include HCBS (Home and Community Based Services) waiver services, nursing facilities, and Intermediate Care Facilities for the Intellectually Disabled (ICF/ID). Physical, behavioral, and mental health services can be kept for the first six months even if their provider is out-of-network.
The four managed care organizations have signed over 12,000 provider contracts since November 1st and will continue to build a robust provider network for Iowa’s Medicaid Modernization program that begins January 1, 2016.
Key Provider Network Highlights:
· 99% (740 out of the 747 in the existing Iowa Medicaid network) of pharmacies have signed contracts with a MCO.
· 576 long term services and support facility (skilled facility, nursing facility, Intermediate Care Facilities for the Intellectually Disabled) provider contracts have been signed with a MCO.
· 2,805 behavioral health provider contracts have been signed with a MCO.
· 4,659 home and community based waiver provider contracts have been signed with a MCO.
· 2,571 MD and DO provider contracts have been signed with a MCO.
