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News for Iowa Health Care Association members and their employees February 29, 2016
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Managed Care
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Iowa's managed care program to start April 1
(All)

IME announced in Informational Letter No. 1624-MC that the IA Health Link managed care program will launch on April 1, 2016.

The Centers for Medicare and Medicaid Services (CMS) has reached a final decision on the implementation of the IA Health Link managed care program. The program will now begin on April 1, 2016.

In the meantime, Medicaid members can continue to see their current providers. Letters are being mailed to all members to update them on this extension. Managed care coverage begins April 1, 2016. Members will have until June 16, 2016, to make a change for any reason, and then for “good cause” reasons after that.

Managed Care Organizations
DHS initially contracted with four managed care organizations (MCOs) to administer Governor Branstad’s IA Health Link Program. On December 18, 2015, the contract with WellCare of Iowa was terminated following an appeals process. Iowa Medicaid has reassigned members who were initially assigned to, or who chose WellCare during the enrollment process.

Providers are encouraged to continue working with the MCOs and complete contracts and credentialing  requirements. All currently enrolled providers can continue to see Medicaid members and receive current reimbursement through Iowa Medicaid.

Fee-for-Service (FFS) Coverage during the Transition Period
Iowa Medicaid will reimburse current FFS rates to Medicaid-enrolled providers serving members that utilize services under the Medicaid FFS programs from January 1, 2016, through March 31, 2016.

Prior Authorizations
All Prior Authorizations will continue to be handled by the IME Medical and Pharmacy Services Units until April 1, 2016. Beginning April 1, 2016, all carriers will honor existing prior authorizations, as announced in Informational Letter 1591-MC during the first 90 days of the transition. During this 90-day grace period, providers will be able to establish new authorizations following the policies of the member’s selected MCO. No prior authorizations will be required for the first 30 days of the transition except for Pharmacy drug claims.

Please refer to the dedicated Medicaid Modernization webpage for up-to-date information.

If you have any questions please contact the IME Provider Services Unit at 1-800-338-7909, or email at IMEproviderservices@dhs.state.ia.us

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Education Calendar
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LTC Nurse and Administrator Leadership Program, Part 1: March 9-10, Part 2: April 20-21, West Des Moines  Registration Closed 
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Data-Driven CNA Recruitment—90-Day Caregiver Onboarding Best Practices, March 15, 2:00-3:00, webinar
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CNA and Direct Caregiver Mentorship Program, March 22-23, West Des Moines
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Home Health Care Conference, March 24, 2016, West Des Moines
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Spring Quarterly Education & Activity Professionals Conference, March 29-30, Embassy Suites, Des Moines
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MDS 101 - Basic MDS 3.0 Training, April 5, West Des Moines
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MDS 201 - Advanced MDS 3.0 Training, April 6, West Des Moines
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Assisted Living Management Certification Program, April 11-15, West Des Moines
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Assisted Living Regulatory Nurse Class, April 14, West Des Moines
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SNF Medicare Review, April 19, West Des Moines
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Professional LTC Nursing Seminar, April 27, Coralville
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Home Health Value Based Purchasing Conference, April 27, West Des Moines
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Professional LTC Nursing Seminar, April 28, West Des Moines
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Activity Professionals Home Study Course, Home Study Course
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ICAL Assisted Living Manager Certificate Program - Online, Ongoing, web-based
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Online Dementia Care Training and Individual Certification Program
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Click on the event link to learn more about each educational offering and to register. If you have additional questions, contact Georgene Olson at 800.422.3106.

West Des Moines area hotel discounts for IHCA ICAL members.

Map to the IHCA ICAL Education Center, 1775 90th Street, West Des Moines, IA.

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