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Overview
Once a member is approved for Medicaid, they are automatically enrolled in a Managed Care Organization (MCO) unless they qualify for services under a Fee-for-Service (FFS) program. Members have 90 days from their initial enrollment to change their MCO or their dental plan for any reason.
Currently the two Iowa Medicaid MCOs are:
And the current Iowa Medicaid Dental Plans are:
After a member has been with a MCO or dental plan for 12 months, they will have the opportunity to change their MCO or dental plan for any reason during their annual Open Choice period.
- Members who wish to change their MCO during their initial enrollment period or during their Open Choice period may use the MCO Change form to submit their choice.
- Members who wish to change their dental plan during their initial enrollment or during their Open Choice period may use the Dental Plan Change form to submit their choice.
- Members who want to keep their current MCO do NOT need to change anything during the Open Choice period.
Note: Outside of a member's initial enrollment and their Open Choice period, they may only change MCOs for reasons of Good Cause.