Dedicated to promoting quality long term care
News for Iowa Health Care Association members and their employees October 10, 2016
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Changing managed care organizations
(All)

If a resident or patient wishes to switch to a different MCO, they may do so with "good cause". Providers CANNOT change a resident's MCO. Providers cannot instruct residents or patients on which MCO to choose. However, providers are allowed to tell a resident if he or she is not contracted with an MCO.

Members may change their MCO at anytime for “good cause” reasons by contacting Iowa Medicaid Member Services at 1-800-338-8366. “Good cause” reasons include:

    • A member’s provider is not enrolled with the MCO
      • A member needs related services to be performed at the same time and not all related services are available in the MCO network
        • If there is a change in eligibility (for example PACE)

        If you have questions about managed care or MCOs, contact Brandon Hagen, IHCA VP, Managed Care & Reimbursement at 800.422.3106. 

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        Education Calendar
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        QAPI Training Workshop, October 11, West Des Moines
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        SNF Medicare Review, October 12, Iowa City
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        Feeding Assistant Train-the-Trainer Program, October 13, West Des Moines
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        LTC Nurse and Leadership Program, October 26-December 7, West Des Moines
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        MDS 101 - Basic MDS 3.0 Training, November 1, West Des Moines
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        MDS 201 - Advanced MDS 3.0 Training, November 2, West Des Moines
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        Assisted Living Management Certification Program, November 7-11, West Des Moines
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        NW District Education, November 8, 10 a.m. to noon, Storm Lake
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        Assisted Living Regulatory Nurse Class, November 10, West Des Moines
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        NE District Education, November 10, 10 a.m. to noon, Cedar Falls
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        SE District Education, November 15, 10 a.m. to noon, West Liberty
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        SW District Education, November 17, 10:30 a.m. to 12:30 p.m. Atlantic
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        Restorative Nursing Program, November 30, West Des Moines
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        ICAL Assisted Living Manager Certificate Program - Online, Ongoing, web-based
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        Activity Professionals Home Study Course, Home Study Course
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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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