Transition Plan Released
Following the announcement by AmeriHealth Caritas Iowa that they will be leaving the state’s managed Medicaid system at the end of November 2017, state officials announced this week that all of the current Medicaid enrollees served by AmeriHealth Caritas, well over 200,000 Iowans, will be automatically transferred over to UnitedHealthcare of the River Valley at the end of November.
Members who prefer to switch to Amerigroup Iowa will have the opportunity to do so by November 16, with an effective coverage date of December 1. Medicaid members, in keeping with Medicaid’s current similar enrollment policies, will have 90 days to finalize their MCO selection.
Replacement MCO Delayed
According to Jerry Foxhoven, the Director of Iowa’s Department of Human Services, the process to find a replacement Managed Care Organization will be delayed.
Shortly after AmeriHealth Caritas’ announcement in late October, the state announced that a new MCO was anticipated to be in place July 1, 2018. This date has been delayed by a full year until July 1, 2019 in order to ensure a more seamless transition and an adequate planning phase.
Critics of the current situation are concerned that this transition, as well as the delayed implementation of a replacement MCO for Amerihealth Caritas, will cause delays in service to patients and payment for providers, placing care providers in a position where they may go out of business.