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Managed Care Plan Contracts & Amendments
List items for Managed Care Plan Contracts & Amendments
These amendments may be pending CMS approval
MED 24-005: Molina Healthcare of Iowa (12.57 MB) .pdf
Molina Healthcare Amendment 10 (929.33 KB) .pdf
Molina Healthcare Amendment 9 (2.22 MB) .pdf
Molina Healthcare Amendment 8 (1.14 MB) .pdf
Molina Healthcare Amendment 7 (3.24 MB) .pdf
Molina Healthcare Amendment 6 (1.65 MB) .pdf
Molina Healthcare Amendment 5 (488.51 KB) .pdf
Molina Healthcare Amendment 4 (12.21 MB) .pdf
Molina Healthcare Amendment 3 (2.16 MB) .pdf
MED 24-006: Wellpoint (formerly Amerigroup Iowa) Contract (1.74 MB) .pdf
Wellpoint Amendment 11 (924.32 KB) .pdf
Wellpoint Amendment 10 (466.41 KB) .pdf
Wellpoint Amendment 9 (338.58 KB) .pdf
Wellpoint Amendment 8 (3.34 MB) .pdf
Wellpoint Amendment 7
Wellpoint Amendment 6 (530.25 KB) .pdf
Wellpoint Amendment 5 (12.15 MB) .pdf
Wellpoint Amendment 4 (665.57 KB) .pdf
Wellpoint Amendment 3 (2.03 MB) .pdf
MEDIOMC27002 DDIA (1.28 MB) .pdf - Contract starting July 1, 2026 (NEW!)
MED-25-012: Delta Dental (1.37 MB) .pdf
- DDIA Amendment 1 (2.24 MB) .pdf
- DDIA Amendment 2 (9.96 MB) .pdf
- DDIA Amendment 3 (4.43 MB) .pdf
- DDIA Amendment 4 (416.41 KB) .pdf
MED-19-009: Delta Dental of Iowa
DDIA DWP 2021 (262.47 KB) .pdf
DDIA Hawki 2021 (243.46 KB) .pdf
DDIA DWP 2020 (857.34 KB) .pdf
DDIA Hawki 2020 (730.56 KB) .pdf
DDIA Hawki 2019 (12.66 MB) .pdf
DDIA DWP 2018 (309.43 KB) .pdf
DDIA Hawki 2018 (5.99 MB) .pdf
DDIA Hawki Amendment 1 2018 (273.63 KB) .pdf
MED-25-011: MCNA Dental (7.86 MB) .pdf
- MCNA Amendment 1 (543.7 KB) .pdf
- MCNA Amendment 2 (3.91 MB) .pdf
- MCNA Amendment 3 (31.69 MB) .pdf
- MCNA Amendment 4 (482.16 KB) .pdf
MED-19-008: MCNA Dental
MCNA DWP 2021 (291.55 KB) .pdf
MCNA Section 3.2 (661.45 KB) .pdf
MCNA Section 3.3 (548.39 KB) .pdf
MCNA Section 3.4 (518.9 KB) .pdf
MCNA Section 3.6 (509.24 KB) .pdf
MEDIOMC27003: DentaQuest Contract (5.45 MB) .pdf - Contract starting July 1, 2026
Excluded Pharmaceuticals
Back to topCapitated Rates, Audits and Accreditation
List items for Capitated Rates, Audits and Accreditation
- IHL 2017 Managed Care Rate Development (774.08 KB) .pdf
- IHL 2017 Managed Care Rate Addendum (683.44 KB) .pdf
- IHL 2018 Managed Care Rate Certification (860.14 KB) .pdf
- IHL 2018 Managed Care Rate Addendum (123.98 KB) .pdf
- IHL 2019 Managed Care Rate Development (704.11 KB) .pdf
- IHL 2020 Managed Care Rate Development (702.2 KB) .pdf
- IHL 2021a Managed Care Rate Development (702.2 KB) .pdf
- IHL 2021b Managed Care Rate Development (725.02 KB) .pdf
- IHL 2022 Managed Care Rate Addendum (520.77 KB) .pdf
- IHL 2023 Managed Care Rate Addendum (383.51 KB) .pdf
- IHL 2024 Managed Care Rate Addendum (389.55 KB) .pdf (PENDING APPROVAL FROM CMS)
- Appendix I (184.14 KB) .xlsx (PENDING APPROVAL FROM CMS)
- Appendix II (57.27 KB) .xlsx (PENDING APPROVAL FROM CMS)
- IHL 2025 Managed Care Rate Addendum (964.38 KB) .pdf (PENDING APPROVAL FROM CMS)
- Appendix I (179.23 KB) .xlsx (PENDING APPROVAL FROM CMS)
- Appendix II (76 KB) .xlsx (PENDING APPROVAL FROM CMS)
- Appendix III (231.73 KB) .pdf (PENDING APPROVAL FROM CMS)
- IHL 2026 Managed Care Rate Development (1017.81 KB) .pdf (PENDING APPROVAL FROM CMS)
- Appendix I (186.57 KB) .xlsx (PENDING APPROVAL FROM CMS)
- Appendix II (0 bytes) .xlsx (PENDING APPROVAL FROM CMS)
- Appendix III (254.37 KB) .pdf (PENDING APPROVAL FROM CMS)
Medical Loss Ratio (MLR) Audit 2024
- Iowa Total Care (623.45 KB) .pdf
- MCNA Dental (611.15 KB) .pdf
- Wellpoint (630.54 KB) .pdf
- Molina (721.06 KB) .pdf
- Delta Dental of Iowa (611.96 KB) .pdf
- Delta Dental of Iowa - Hawki (604.77 KB) .pdf
MLR Expense Reports 2024
- Iowa Total Care (802.48 KB) .pdf
- Molina (689.73 KB) .pdf
- Wellpoint (691.43 KB) .pdf
- Delta Dental of Iowa (655.15 KB) .pdf
- Delta Dental of Iowa - Hawki (652.21 KB) .pdf
- MCNA Dental (651.82 KB) .pdf
Medical Loss Ratio (MLR) Audit 2023
- Iowa Total Care (738.33 KB) .pdf
- MCNA Dental (711.22 KB) .pdf
- Wellpoint (733.62 KB) .pdf
- Delta Dental of Iowa (758.29 KB) .pdf
- Delta Dental of Iowa - Hawki (693.04 KB) .pdf
Medical Loss Ratio (MLR) Audit 2022
- Amerigroup (726.09 KB) .pdf
- Iowa Total Care (725.13 KB) .pdf
- Delta Dental of Iowa (690.08 KB) .pdf
- Delta Dental of Iowa - Hawki (666.32 KB) .pdf
- MCNA Dental (685.42 KB) .pdf
Medical Loss Ratio (MLR) Audit 2021
- DWP Rate Certification (364.87 KB) .pdf (pending approval from CMS)
- Appendix I (56.96 KB) .xlsx (pending approval from CMS)
- Hawki DWP Rate Certification (359.25 KB) .pdf (pending approval from CMS)
Dual Eligible Special Needs Plans
List items for Dual Eligible Special Needs Plans
D-SNP
Archived Contract Documents
List items for Archived Documents
(2016 - 2023) MED 16-018: Amerigroup Contract (7.89 MB) .pdf
Amerigroup Amendment 23 (278.52 KB) .pdf
Amerigroup Amendment 22 (590.46 KB) .pdf
Amerigroup Amendment 21 (669.92 KB) .pdf
Amerigroup Amendment 20 (419.07 KB) .pdf
Amerigroup Amendment 19 (345.99 KB) .pdf
Amerigroup Amendment 18 (400.72 KB) .pdf
Amerigroup Amendment 17 (846.37 KB) .pdf
Amerigroup Amendment 16 (906.1 KB) .pdf
Amerigroup Amendment 15 (110.46 KB) .pdf
Amerigroup Amendment 14 (284.75 KB) .pdf
Amerigroup Amendment 13 (1.22 MB) .pdf
Amerigroup Amendment 12 - Replaced by Amendment 18 (400.72 KB) .pdf
Amerigroup Amendment 11 (602.99 KB) .pdf
Amerigroup Amendment 10 (93.88 KB) .pdf
Amerigroup Amendment 9 (2.26 MB) .pdf
Amerigroup Amendment 8 (203.98 KB) .pdf
Amerigroup Amendment 7 (958.42 KB) .pdf
Amerigroup Amendment 6 (775.25 KB) .pdf
Amerigroup Amendment 5 (8.57 MB) .pdf
Amerigroup Amendment 4 (1003.21 KB) .pdf
Amerigroup Amendment 3 (6.63 MB) .pdf
(Replaced May 2024) MED 20-001 (5.4 MB) .pdf
(Replaced April 2025) MED 20-001 (3 MB) .pdf
Iowa Total Care Amendment 23 (1.47 MB) .pdf
Iowa Total Care Amendment 22 (3.46 MB) .pdf
Iowa Total Care Amendment 21 (1.87 MB) .pdf
Iowa Total Care Amendment 20 (2.39 MB) .pdf
Iowa Total Care Amendment 19 (11.35 MB) .pdf
Iowa Total Care Amendment 18 (2.42 MB) .pdf
Iowa Total Care Amendment 17 (1.78 MB) .pdf
Iowa Total Care Amendment 16 (342.68 KB) .pdf
Iowa Total Care Amendment 15 (489.03 KB) .pdf
Iowa Total Care Amendment 14 (475.27 KB) .pdf
Iowa Total Care Amendment 13 (464.78 KB) .pdf
Iowa Total Care Amendment 12 (608.7 KB) .pdf
Iowa Total Care Amendment 11 (251.32 KB) .pdf
Iowa Total Care Amendment 10 (314.33 KB) .pdf
Iowa Total Care Amendment 9 (783.85 KB) .pdf
Iowa Total Care Amendment 8 (790.58 KB) .pdf
Iowa Total Care Amendment 7 (806.13 KB) .pdf
Iowa Total Care Amendment 6 (251.23 KB) .pdf
Iowa Total Care Amendment 5 (1.37 MB) .pdf
Iowa Total Care Amendment 4 (639.06 KB) .pdf
Iowa Total Care Amendment 3 (2.02 MB) .pdf
UnitedHealthcare Plan of River Valley Contract Pt. 1 (2.23 MB) .pdf | Pt. 2 (2.23 MB) .pdf | Pt. 3 (84.98 KB) .pdf
UnitedHealthcare Amendment 1 (1.01 MB) .pdf
UnitedHealthcare Amendment 2 (2.26 MB) .pdf
UnitedHealthcare Amendment 3 (6.04 MB) .pdf
UnitedHealthcare Amendment 4 (1.09 MB) .pdf
UnitedHealthcare Amendment 5 (1.14 MB) .pdf
UnitedHealthcare Amendment 6 (997.67 KB) .pdf
DWP (Dental Wellness Plan)
IA DWP - SFY25 Delta Rate Deliverables 2024.06.05 (601 KB) .pdf
IA DWP - SFY25 Rate Certification 2024.06.21 (645 KB) .pdf
IA DWP - SFY24 Cert Letter 2023.06.15 (659.84 KB) .pdf
Hawki
IA Hawki - SFY25 Delta Rate Deliverables 2024.06.05 (601 KB) .pdf
IA Hawki - SFY25 Rate Certification 2024.06.21 (625.2 KB) .pdf
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