Federal officials have launched an investigation into the insurance companies that contract with several states across the country to oversee its Medicaid managed-care programs, including Iowa’s.On Wednesday, the U.S. Office of Inspector General announced it will review medical and dental services and drug prescription denials by the insurers that oversee Medicaid members’ care.In Medicaid contract agreements, financial risk for the cost of Medicaid services is shifted from the state and the federal government to the managed-care organizations, the Inspector General’s Office wrote in a news release.This shift “can create an incentive to deny beneficiaries’ access to covered services.”“Our review will determine whether Medicaid MCOs complied with federal requirements when denying access to requested medical and dental services and drug prescriptions that required prior authorization,” the agency’s website states.In a statement provided to The Gazette, spokesman Pat Garrett said the Governor’s Office “welcomes any nationwide review as we continue working with the Department of Human Services to make improvements to our managed care system.”The Iowa Department of Human Services, which oversees Iowa Medicaid, also welcomed the review.“Ensuring vulnerable Iowans get the care they need is our top priority,” Department of Human Services spokesman Matt Highland said.
Comment on Federal officials launch investigation into Medicaid managed-care denials, including those in Iowa
Michaela Ramm, The Gazette (Cedar Rapids)
Wed, 04/17/2019 - 12:45pm
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