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New MCO Arriving Soon

posted on Friday, April 28, 2023

Soon Iowa will have three health insurance companies to help run its Medicaid Program. 

On July 1, 2023, Molina Healthcare is expected to begin providing services. The Iowa Medicaid team is currently working on member reassignment to ensure a successful MCO onboarding. 

What does this mean for me? 
Members will be distributed between the three MCOs as equally as possible. Around 33% of Medicaid members will be assigned to Molina Healthcare of Iowa, 33% to Iowa Total Care, and 33% to Amerigroup. Meaning approximately 67% of members will be able to remain with their current MCO.

You have options. Members have the chance to choose their MCO during the open choice period (now - May 18). This choice period is available for all members.
If you would like to change your MCO, please call the IME Member Services Unit at 1-800-338-8366 or 515-256-4606 (when calling from within the Des Moines area), Monday through Friday, 8 a.m. to 5 p.m.
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.

You do not have to change your MCO. If you choose not to change your MCO, you do not need to contact Iowa Medicaid. Your coverage with your current MCO will continue without interruption.

Who will EPI sign with? 
EPI is contracted to work with all three MCOs - Amerigroup Iowa Inc., Iowa Total Care, and now Molina Healthcare. 

If you have any questions on how to choose your MCO, visit the frequently asked questions section on the HHS website found here.

When will your choice take effect?
Your choice will not take effect until your annual enrollment date - based on when you first began enrollment in managed care.

As long as your Medicaid eligibility does not change, your benefits will remain the same no matter which MCO you select.