The Des Moines Register

DNR: Iowa rivers, lakes still too cold to kayak, canoe

Agency says water usually is warm enough in May

- Paris Barraza Des Moines Register USA TODAY NETWORK when

Despite a stretch of days with record-high temperatur­es tempting Iowans, it’s not yet safe to head out on the water. Bodies of water in Iowa are still too cold to safely go kayaking, canoeing and the like, and paddlers opting to get out on the water now should know the risk.

“When it comes to paddling and being out on a river especially, we have to play it smart and this is a real dangerous time of year now and late fall,”

Todd Robertson, Iowa Department of Natural Resources water trails coordinato­r, told the Des Moines Register.

Iowa DNR recommends paddlers wait for consistent, warm weather, which will ensure water temperatur­es reach safe levels, before getting out on the water.

When can paddlers go out on the water in Iowa?

The for safe water activities is “weather dependent,” Robertson said.

almost identical to that of Iowa in 2022, but its MFCU budget was more than double Iowa’s.

Inspector general questions funding, staffing

The Iowa MFCU, which is housed within the Iowa Department of Inspection­s, Appeals and Licensing, had a total of nine staffers in 2022, which included five investigat­ors, according to the national associatio­n. Only four other states in the nation had fewer total MFCU staff, and only nine had fewer investigat­ors.

In 2022, the Office of Inspector General for the U.S. Department of Health and Human Services reviewed the work of Iowa’s MFCU and praised it for operating effectivel­y and achieving “high case outcomes.” But the inspector general also said the unit was leaving positions vacant and was not maintainin­g its own approved staffing levels.

The low staffing levels were partly the result of a “significan­t turnover of investigat­ors” which in turn contribute­d to high caseloads, the inspector general said. Iowa was spending about $759 million on Medicaid per MFCU employee at a time when only two other states in the nation were reporting a higher disparity between total Medicaid spending and spending on investigat­ions.

Iowa resists hiring more investigat­ors

Federal data indicates Iowa’s staffing issue dates back several years. Although Iowa’s unit was approved for 11 employees in the years 2019, 2020 and 2021, it actually employed seven or eight individual­s at the end of each of those years.

Nearly all of the staff vacancies during that time consisted of investigat­or positions, the inspector general reported, noting that while the budget had allowed for seven investigat­ors, only four were employed there at the end of each fiscal year.

The inspector general also found that during the three-year period, six investigat­ors had left the unit. Four of them were employed there only a short time — one week to 15 months — and two of those four didn’t complete the six-month probationa­ry period.

Even if all of the vacant positions were filled, the inspector general reported, the Iowa unit’s staffing levels remained low compared to all other fraud- control units in the nation. The staffing shortage resulted in the investigat­ors handling as many as 20 open cases at a time, far above the unit’s preferred 12 to 15, the inspector general reported.

The inspector general recommende­d that Iowa assess the adequacy of the unit’s staffing levels and said adding more staff “would ultimately enhance the unit’s ability to protect the Medicaid program and its beneficiar­ies.”

The state disagreed. While it hired an additional investigat­or after the inspector general’s visit, it argued that its current staffing levels were sufficient.

“Nine full-time employees are adequate at this time to operate effectivel­y and efficientl­y,” DIAL Director Larry Johnson told the inspector general’s office. “Specifical­ly, five investigat­ors are sufficient to respond to current referral intakes.”

The unit, he said, had “reasonable caseloads to keep investigat­ors working diligently” and was not “using taxpayer funds to employ unnecessar­y personnel.”

The Iowa Capital Dispatch’s calls to the Iowa Medicaid Fraud Control Unit were referred to the Iowa Department of Inspection­s, Appeals and Licensing, which declined to comment on the data from the National Associatio­n of Medicaid Fraud Control Units or the inspector general’s recommenda­tions, other than to cite Johnson’s letter.

Find this story at Iowa Capital Dispatch, which is part of States Newsroom, a network of news bureaus supported by grants and a coalition of donors as a 501c(3) public charity. Iowa Capital Dispatch maintains editorial independen­ce. Contact Editor Kathie Obradovich for questions: kobradovic­h@iowacapita­ldispatch.com.

 ?? PHOTOS BY BRYON HOULGRAVE/THE REGISTER ?? Kayaker Hannah Childs of Cedar Rapids competes during the Charles City Challenge kayak and standup paddle board contest June 26, 2021, at the Charles City Whitewater Park in Charles City.
PHOTOS BY BRYON HOULGRAVE/THE REGISTER Kayaker Hannah Childs of Cedar Rapids competes during the Charles City Challenge kayak and standup paddle board contest June 26, 2021, at the Charles City Whitewater Park in Charles City.
 ?? ?? James Weeks competes during the Ninth Annual Charles City Challenge kayak and stand-up paddleboar­d contest.
James Weeks competes during the Ninth Annual Charles City Challenge kayak and stand-up paddleboar­d contest.

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