Iowa SF558 improves Medicaid program administration, including conflict-free services for long-term care, external review processes, and workforce.

Iowa SF558 mandates the Department of Health and Human Services to ensure conflict-free services for Medicaid long-term care members, requiring case management by independent providers and assessments by independent assessors. It establishes an external independent third-party review process for Medicaid providers to challenge managed care organizations' final adverse determinations. The bill also requires managed care organizations to collaborate with the department to develop workforce recruitment and training programs.

Iowa SF558 improves Medicaid program administration, including conflict-free services for long-term care, external review processes, and workforce.

Iowa SF558 mandates the Department of Health and Human Services to ensure conflict-free services for Medicaid long-term care members, requiring case management by independent providers and assessments by independent assessors. It establishes an external independent third-party review process for Medicaid providers to challenge managed care organizations' final adverse determinations. The bill also requires managed care organizations to collaborate with the department to develop workforce recruitment and training programs.