Republican Iowa Governor Terry Branstad has declared extended Medicaid coverage for eligible residents in his state through a program he is referring as Medicaid modernization.
Iowa is shifting to a managed Medicaid network, through waivers admitted upon by the CMS (Centers for Medicare and Medicaid Services) and the state, Branstad and Lt. Gov. Kim Reynolds declared on the day of Feb. 23.
The latest system goes into effect in the April 1.
The program utilizes contracted arrangements between state Medicaid agencies and managed care agencies that embrace a set per member per month capitation payment for services.
For about 20 years, few Medicaid beneficiaries in Iowa have had approach to managed Medicaid via IowaCare.
Through the CMS agreement, beginning on April 1, a higher number of Medicaid sufferers will have approach to a greater number of doctors and contributor networks, and Iowa will have a more sustainable Medicaid program for taxpayers, Branstad claimed. Healthcare delivery will be better by giving preventive services above and beyond what presently is available, he stated.
“Now we can work together towards victoriously bringing the profits to all our Medicaid patients,” Branstad claimed.
A restricted number of states have gained or are seeking similar approval through waivers to execute Medicaid expansion in ways that expand beyond the flexibility given by the law.
A few states have sought waivers in part because they couldn’t otherwise protect political support to expand Medicaid coverage under the Affordable Care Act, in accordance to the Kaiser Family Foundation. The alternative models are analyzed as a politically viable way to expand coverage and apprehend enhanced federal matching funds for newly eligible adults.
CMS has passed the waivers to exeute Medicaid expansion in 7 states: Iowa, Arkansas, Michigan, Indiana, Pennsylvania, New Hampshire and Montana.
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