Six Iowa Med­i­caid ben­e­fi­cia­ries with se­ri­ous dis­abil­i­ties sued Gov. Kim Reynolds and the head of the state Hu­man Ser­vices Depart­ment in a pro­posed class-ac­tion law­suit

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in fed­eral court al­leg­ing the state’s con­tracted man­aged-care or­ga­ni­za­tions cut their monthly cost al­lowances for home- and com­mu­nity-based care, even though there was no change in their care needs. Ap­prox­i­mately 15,000 Iowa Med­i­caid ben­e­fi­cia­ries with se­ri­ous dis­abil­i­ties rang­ing from mul­ti­ple scle­ro­sis to in­tel­lec­tual dis­abil­i­ties and brain in­juries may have been af­fected by the cuts since Iowa shifted to pri­vate, for-profit man­aged-care plans in April 2016. The state’s Med­i­caid pro­gram has sev­eral waivers avail­able to fund care ser­vices for in­di­vid­u­als who pre­fer to live in­de­pen­dently rather than in in­sti­tu­tional fa­cil­i­ties. While some of these pro­grams have monthly cost lim­its, the plain­tiffs each had re­ceived vari­ances to in­crease their care bud­gets to fa­cil­i­tate in­de­pen­dent liv­ing.

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