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Managed Care Implementation

The Iowa Department of Human Services (DHS) announced winning bidders for Governor Branstad’s Medicaid Modernization initiative on August 17, 2015. The RFP, titled the Iowa High Quality Health Care Initiative, asked for bids from potential vendors as the state moves toward a risk-based managed care approach for Iowa’s Medicaid program. DHS has announced that the following bidders have been selected*:

  • Amerigroup Iowa, Inc.
  • AmeriHealth Caritas Iowa, Inc.
  • UnitedHealthcare Plan of the River Valley, Inc.

*On August 17, 2015, DHS issued a notice of intent to award four MCOs with contracts to administer the program. On December 18, 2015, the selection of WellCare of Iowa was terminated following an appeals process.

Access the bid proposals, evaluation materials and scorecard on the Bidder's Library page. Access the press release for additional information. The initiative aims to:
  • Improve quality and access
  • Promote accountability for outcomes
  • Create a more predictable and sustainable Medicaid budget

IA Health Link is the name for the Iowa Medicaid managed care program. The IA Health Link Frequently Asked Questions webpage is regularly updated to offer the latest information to help members get the care they need, and help providers get paid for the important services they deliver. 

Informational Documents

Readiness Review and Rules Presentation (September 10, 2015)

IA Health Link Member/Provider Transition Update (September 2, 2015)
Medicaid Modernization Overview Presentation (March 18, 2015)
Public Meetings Press Release (March 10, 2015)
Announcement Press Release (February 16, 2015)

Iowa Medicaid Presentation on the IA Health Link to the Senate Human Resources Committee on March 30, 2016.

Iowa Medicaid Presentation on the IA Health Link to the Senate Human Resources Committee on March, 16, 2016.

Update on Network Development 
Provider Network Status Summary - Historical Utilization Report (May 2016)
GeoMaps - Provider Network Overview, Region and Market Share Report