Resources for Families
Systems Unlimited is holding quarterly meetings with parents, guardians and family members of the individuals we serve. The meetings are held at the Systems Unlimited service center in Iowa City. The address is 2533 Scott Blvd SE.
These informal meetings are held to discuss new Iowa initiatives, news from Systems Unlimited, Inc. and to answer any questions or concerns families may have regarding services for their family member. Be sure to check back often for the next scheduled meeting.
#IamMedicaidIowa Join Us!
Lawmakers need to hear your story regarding your experiences with Iowa Medicaid Care. Go to this link and learn how you can join others in sharing what we have encountered with the Iowa Managed Care program. Let’s unite to share our stories with lawmakers.
What is going on with Medicaid Managed Care in Iowa? As of December 4, 2017:
There has been a lot of news about Medicaid managed care this month, starting with the announcement on October 31st that AmeriHealth would be ending its contract with the state effective December 1st. In the weeks since that announcement there have been several different statements from DHS about how AmeriHealth members would be transitioned. It has been confusing to keep up with all of the changing information in such a short amount of time, and is surely very stressful for Medicaid members and their families. Because AmeriHealth serves a much higher number of members with disabilities and long-term care needs than the other two MCOs – 74% of Medicaid members with serious disabilities – this is disproportionately impacting individuals with disabilities and their families.
Below is our best attempt to provide an overview of what has happened over the past month, what this means for patients and families, and where to find more information.
The Short Version:
- AmeriHealth ended services effective December 1, 2017
- Most members who were with AmeriHealth were enrolled with UnitedHealthcare
- Members who switched to Amerigroup before the initial November 16th cut-off will have their Medicaid services managed by DHS
- The ability for members to choose their MCO is temporarily suspended because Amerigroup does not have the capacity to take on new members at this time
- The state is looking to contract with at least one additional MCO beginning in July 2019
Read detailed overview, including links to further information
Special Needs Trusts
We are hosting a workshop open to parents, caregivers, and anyone interested in learning about Special Needs Trusts. Special Care Planners Donald G. Olsen and Patrick D. Olsen will discuss an overview of these trusts, who should establish one, how one works, first party versus third party trusts, and the process of getting started.
Managed Care Ombudsman Program
Systems Unlimited wants to share this helpful guide to Managed Care. It has a lot of helpful information for members, and parents and guardians.
Guide on How to Navigate Managed Care in Iowa
Systems Unlimited received this Guide on how to advocate for individuals with disabilities in Iowa. We want to share this important resource with the families, guardians, and people we serve.
Medicaid and Managed Care Action Alert
As many of you are aware, Systems Unlimited relies on Medicaid funds for a significant portion of our funding to support thousands of people with disabilities in Iowa through Supported Living, Employment and Behavioral Health Services. The Federal government covers approximately 57% of Iowa’s Medicaid costs. Congress has introduced significant changes to repeal and replace Obamacare with The American Health Care Act (AHCA). Of specific concern for Iowa is the condition in the AHCA that the per capita rates for Medicaid would be based upon spending at 2016 levels. States like Iowa, that have been careful about keeping costs down, will be penalized because the rates will be permanently stuck at that 2016 level. Read More…
Here are some helpful resources for Medicaid recipients and health care providers transitioning to the new managed care system that went into effect April 1:
- Managed Care Organizations (MCOs) offer health coverage to most Medicaid recipients:Amerigroup Iowa, Inc.
Member services: 1-800-600-4441
Provider services: 1-800-454-3730
Member services: 1-855-332-2440
Provider services: 1-855-287-7855
Web: www.amerihealthcaritasia.comUnitedHealthcare Plan of the River Valley
Member services: 1-800-464-9484
Provider services: 1-888-650-3462
- Medicaid Member Services assists Medicaid recipients with questions and concerns about health care coverage, MCO enrollment, and which MCOs their health care provider has signed up with.
Toll Free: 1-800-338-8366
Des Moines area: 515-256-4606
- Iowa Medicaid Provider Services enroll health care providers with Iowa Medicaid and assist with eligibility and MCO questions.
Toll Free: 1-800-338-7909
Des Moines area: 515-256-4609
- Managed Care Ombudsman can help Iowa Medicaid recipients who live in a health care facility, assisted living program or elder group home, as well as those enrolled in certain Home & Community-Based Services programs.
Toll Free: 1-866-236-1430
More information: https://www.iowaaging.gov/long-term-care-ombudsman/managed-care-ombudsman
Department of Human Services Releases Medicaid Modernization Fact Sheet: The Iowa Department of Human Services has released a Medicaid Modernization Fact Sheet. This fact sheet contains frequently asked questions and responses. Access the fact sheet here, and also find it on the dedicated Medicaid Modernization web page. Watch for future email updates regarding new documents. Each Friday, new questions and responses will be released and posted on the Medicaid Modernization web page.
Information on Medicaid Modernization can be found on the dedicated web page at: https://dhs.iowa.gov/ime/about/initiatives/MedicaidModernization.
Myths and Facts About People with Disabilities
Everybody’s fighting some kind of stereotype, and people with disabilities are no exception. The difference is that barriers people with disabilities face begin with people’s attitudes — attitudes often rooted in misinformation and misunderstandings about what it’s like to live with a disability.
This page was last updated on January 8, 2018.