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Iowa HHS announces intent to award new contract with Iowa Total Care

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Iowa HHS announces intent to award new contract with Iowa Total Care


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The Iowa Department of Health and Human Services has announced its intent to award a contract to Iowa Total Care, a subsidiary of the Medicaid managed-care company Centene.

The state department this week announced its intent to award a Managed Care Organization (MCO) contract to Iowa Total Care that will begin July 1, 2025, with no change in operations. The new contract is set for four years, with a possible two-year extension.

The current contract with the organization is set to expire in 2025, after having began July 1, 2019. According to a Centene news release, Iowa Total Care plans to continue to provide care for 218,600 Medicaid, Iowa Health and Wellness Plan and Hawki members across the state’s 99 counties, with a focus on expanding home and community-based services.

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“Since 2019, Iowa Total Care has provided Iowans with local and personalized care,” Sarah London, CEO of Centene said in a Wednesday statement. “We look forward to expanding our partnership with HHS as Iowa Total Care puts the health of Iowans at the center of all it does – investing in programs and partnerships that reduce barriers to care and improve health and well-being.”

Centene paid Iowa $44.4 million in 2022 to settle claims that it defrauded the state’s Medicaid system by Iowa Total Care overbilling taxpayers for prescription drugs through transactions handled by Envolve, which is also owned by Centene.

Iowa Total Care is one of three health insurance companies companies to contract with the state to provide managed care services for the state’s $7 billion program. In 2022, Amerigroup Iowa and Molina Healthcare of Iowa were awarded MCO contracts that began July 1, 2023, taking over after AmeriHealth Caritas withdrew from its Iowa contract in 2017 and UnitedHealthcare in 2019. The companies cited major financial losses due to their MCO contracts with Iowa, while program members said they saw cuts to medical services following the 2016 move to a privatized Medicaid system.

Department officials said in a news release that Medicaid members will not see any changes to their benefits under their current plan due to the contract award. Iowa HHS director Kelly Garcia said  the state remains committed to “providing access to quality health care” through the program, and  that Iowa Total Care has shown it has advanced in its provision and standards for care during its time serving as an MCO provider for the state.

“Iowa Total Care has demonstrated a commitment to continuous quality improvement and innovation — making them a valued partner for Iowa Medicaid,” Garcia said in a statement. “We are pleased to award Iowa Total Care with this contract as they continue to meet the needs of Iowans and deliver essential medical services.”

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Iowa man charged in connection to horse-drawn buggy crash that killed teen

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Iowa man charged in connection to horse-drawn buggy crash that killed teen


CLARKE COUNTY, Iowa (KCRG) – An Iowa man was charged Friday in connection to a deadly horse-drawn buggy crash that killed a teenager last month.

Jacob Wright, 41, of Grand River, is facing charges including involuntary manslaughter and leaving the scene of a deadly accident.

The crash happened in Clarke County on November 12. According to the crash report, Wright’s car hit the back of the buggy and ran it into a ditch.

Elmer Borntrager, 16, was thrown from the buggy and died at the scene.

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Police found Wright’s damaged vehicle days later about five miles from the crash scene.



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How much snow did we get? See Iowa snowfall totals from Thursday.

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How much snow did we get? See Iowa snowfall totals from Thursday.


Another round of snow swept through Iowa, leaving more than 3 inches in some parts of the state.

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Flurries began falling in Des Moines around noon on Thursday, Dec. 11, and persisted until late in the evening.

Here’s a look at the highest snowfall totals in Iowa as of 8 a.m. Friday, Dec. 12, according to the National Weather Service.

What were the highest Iowa snowfall totals?

  • West Burlington: 4 inches
  • Parnell: 3.8 inches
  • Salem: 3.8 inches
  • Mooar: 3.6 inches
  • Webster City: 3.5 inches
  • Muscatine: 3 inches
  • Yarmouth: 3 inches
  • Williamstown: 3 inches
  • New London: 2.8 inches
  • Riverside: 2.8 inches
  • Ottumwa: 2.8 inches

How much snow did Des Moines get?

Over an inch of snow fell at the Des Moines International Airport, with the National Weather Service reporting 1.1 inches as of 6 p.m. Thursday, Dec. 11.

Grimes reported 1.3 inches of snow and other reports from the Des Moines area were around 1 inch.

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Nevada in Story County reported 0.5 inches

How much snow did Iowa City get?

No reports were received from Iowa City, according to the National Weather Service. Nearby University Heights reported 1.5 inches. Oakdale reported 2 inches and North Liberty reported 1.3 inches of snow.

When is the next chance for snowfall in Des Moines?

Another round of snow is expected to begin Friday night and continue into Saturday, Dec. 13, in the afternoon.

Des Moines is projected to receive between 2 and 4 inches of snow during this time. A winter weather advisory is in effect for Des Moines from 12 a.m. to 3 p.m. Saturday. The advisory is also in effect in cities spanning from Sioux City to Davenport.

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Temperatures are also expected to drop during the weekend, with daytime highs of 9 degrees on Saturday and Sunday, and lows of 10 degrees below zero on Saturday and 1 degree below zero on Sunday.

Cooper Worth is a service/trending reporter for the Des Moines Register. Reach him at cworth@gannett.com or follow him on X @CooperAWorth.



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Iowa women’s wrestling goes on the road to defeat Grand View

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Iowa women’s wrestling goes on the road to defeat Grand View


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While Iowa women’s wrestling rolled Grand View, 32-10, on Dec. 11 at Waukee Northwest High School, the Vikings provided a worthy challenge in Central Iowa.

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The Hawkeyes and Grand View were the second leg of a doubleheader, with a high school dual between Raccoon River Wrestling and Ankeny, the top two teams at last season’s IGHSAU state meet, happening earlier in the night.

The Hawkeyes won each match that was held, but did not send a wrestler at 160 pounds, while Grand View did not participate at 180, so each team took one forfeit. In the eight matches held, Iowa won all of them and two by bonus points at 131 and 145. A sizeable chunk of Iowa’s top starters didn’t wrestle, but Grand View fought tough nonetheless.

“They’re (Grand View) scrappy and they fight hard,” said Iowa coach Clarissa Chun.

The Hawkeyes opened with four wins by decision from 103 to 124 against top-end wrestlers in the NAIA division. Sterling Dias earned a 3-0 decision over Judy Sandova (No. 2 in NAIA) at 103, followed by an 8-2 victory for Nyla Valencia over Tristan Nitta (No. 5 in NAIA) at 110 and a 9-2 decision for Brianna Gonzalez over Mayangelie Colon (No. 3 in NAIA) at 117.

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In one of the best wins of the night, Cali Leng downed Catharine Campbell (No. 3 in NAIA) at 124 by a 9-1 decision. Her front headlocks and control of the hand fight led to her rotating behind Campbell for multiple takedowns.

“She’s got a big gas tank and a big heart,” Chun said. “She found ways to adjust and put points on the board.”

Emily Frost won at 131 pounds as she normally does, locking up a headlock and tossing Maya Davis for a win by fall in the first period. Iowa native Lilly Luft followed that pin with a tough win by decision, trailing by criteria at 6-6, but securing two takedowns late in the second period to defeat Adrienna Turner, 10-6. Before the two forfeits, Cadence Diduch rolled in a 10-0 technical fall of Sofia Delgado at 145 pounds.

In the final bout of the night, Libby Dix gave fans at Waukee Northwest a show. Trailing by criteria at 2-2, Dix scored a late step-out point with just a few seconds remaining to clinch the win. While she hadn’t wrestled a ton of freestyle before her college career, she won with her awareness late to score on the one-point action unique to freestyle.

“She’s a gamer,” Chun said. “She’s competitive. If she wasn’t, she would’ve been hung up on losing the match 2-2, but she wanted to go get one.”

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The Hawkeyes have one more test before going off on winter break, traveling to Naperville, Ill. on Dec. 14 for the North Central Open.

Iowa women’s wrestling vs. Grand View box score

  • 103: Sterling Dias (IOWA) over Judy Sandoval (GVU) (Dec 3-0)
  • 110: Nyla Valencia (IOWA) over Tristan Nitta (GVU) (Dec 8-2)
  • 117: Brianna Gonzalez (IOWA) over Mayangelie Colon (GVU) (Dec 9-2)
  • 124: Cali Leng (IOWA) over Catharine Campbell (GVU) (Dec 8-1)
  • 131: Emily Frost (IOWA) over Maya Davis (GVU) (Fall 2:21)
  • 138: Lilly Luft (IOWA) over Adrienna Turner (GVU) (Dec 10-6)
  • 145: Cadence Diduch (IOWA) over Sofia Delgado (GVU) (TF 10-0 2:08)
  • 160: Kami Senlycki (GVU) over (IOWA) (For.)
  • 180: Katja Osteen (IOWA) over (GVU) (For.)
  • 207: Libby Dix (IOWA) over Andjela Prijovic (GVU) (Dec 3-2)

Eli McKown covers high school sports and wrestling for the Des Moines Register. Contact him at Emckown@gannett.com. Follow him on Twitter at @EMcKown23.





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