AmeriHealth Caritas Iowa, Inc. Withdraw

What happened?

AmeriHealth Caritas Iowa, Inc. withdrew from the Iowa Medicaid managed care program called the IA Health Link.
 

Who is affected?

About 200,000 Iowa Medicaid members who were previously enrolled with AmeriHealth Caritas were assigned to UnitedHealthcare Community Plan of Iowa. 
 
About 10,000 members who were previously enrolled with AmeriHealth Caritas and chose to enroll with Amerigroup by November 16, 2017, are covered through Iowa Medicaid Fee-for-Service (FFS) until Amerigroup has capacity.
 

Does this affect me?

If you had coverage through Amerigroup or UnitedHealthcare before December 1, 2017, you were not impacted by this change. If you had coverage through AmeriHealth Caritas, you should have received a packet in the mail which will include information on your new FFS or MCO coverage.
 

When did happen?

AmeriHealth Caritas withdrew from the program effective November 30, 2017.
 

Why did this happen?

After months of dilligent negotiations, the state and AmeriHealth Caritas were unable to come to mutually agree on future contract rates and terms. 
 

Will the other plans leave Iowa?

Amerigroup and UnitedHealthcare have signed contracts that extend through the end of June 2018. Negotiations for the contract period beginning July 1, 2018, will begin in the next several months. Additional health plan options will also be available beginning July 1, 2018.
 

Why was I assigned to UnitedHealthcare? Do I have to receive coverage through UnitedHealthcare?

Right now UnitedHealthcare is the only MCO available to IA Health Link members. In the future you will be able to choose from multiple MCOs. You will be notified when an option is available. Until then, you must have 'good cause' reason to change your MCO. FOr more information, please visit the Amerigroup Suspension of MCO Choice FAQ webpage. 
 

Can I keep my current case manager?

Call Iowa Medicaid or your new MCO for more information.
 

Can I continue to see my doctor?

Prior Authorizations must be honored by Iowa Medicaid or UnitedHealthcare for 30 days. If you receive coverage through UnitedHealthcare, your doctor may be in their provider network. Iowa Medicaid Member Services can check for you.
 
Service plans and Level of Care were shared with Iowa Medicaid or UnitedHealthcare and will remain in place.
 

Where can I find more information?

Iowa Medicaid will post or send updates to the:
  • DHS webpage
  • Medicaid/IA Health Link member and provider webpages
  • Council on Human Services, Medical Assistance Advisory Council, hawk-i Board, Mental Health and Disability Commission, and other partners and stakeholders
  • Medicaid eNews
  • Media updates
  • Legislative updates

 

 
Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-338-8366 (Toll Free) 
515-256-4606 (Des Moines Area)
515-725-1351 (Fax)
 
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.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.