Since the transition, providers have reported late and inaccurate payments, while some beneficiaries have said they've experienced gaps in care.
The state, meanwhile, has reported a smooth rollout, with only minor bumps along the way. Gov.
"A lot of payments -- we've tracked nearly 30, but don't know of all of them -- have been going to other facilities not associated with ours, and some not even in
Valentine said hospital staff can't get straight answers when they call the managed-care organizations and often receive conflicting information when calling about the same missing claim. She added that some of the claims the hospital has received have not been correct.
Other providers on the call -- from durable medical equipment providers to occupational, physical and speech therapists -- told the federal officials that prior authorizations have been cumbersome and payments have been incorrect.
Shouse said that she tried to refill the prescription about two weeks ago and was told she needed pre-authorization from her MCO. After waiting a week for the pre-authorization, her doctor told her Monday morning it had been denied.
Her doctor provided her with free samples of the drug as a stopgap measure.
"How long are drugmakers and doctors supposed to step in for the MCOs?" she asked. "I'm preparing for a surgery next month. I would hate to have to postpone it because of a preventable hospitalization."
"One person, I think it was
"So many providers, who are really smart and have done a lot of work for this, have just exhausted options," she continued. Calling the MCOs and Iowa Medicaid "have been tried multiple times."
Legislators will keep shining a light on issues until things begin to get resolved, Mathis added.
"It's time to take off the gloves," she said.
Also on Monday, Branstad touted the more than 365 meetings
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