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home : news : news Saturday, April 30, 2016

11/16/2013 Email this articlePrint this article 
County to continue service contract
Clinton County will continue a contract with the Iowa State Association of Counties (ISAC) that provides technical assistance for Medicaid case managers due to concerns about other changes affecting the case management system.

Case management director Patti Robinson previously told the Clinton County Board of Supervisors she was considering terminating the contract over dissatisfaction with the service, but Robinson said Nov. 12 she wants to continue the agreement for another year in light of the other uncertainties facing her department.

Clinton County pays around $18,000 per year for the case management services, according to Robinson.

Robinson said she feels comfortable continuing the agreement after she and other case managers from the eastern Iowa mental health region met for three hours last week with an ISAC county case management representative to discuss the service issues.

"We aired a lot of our concerns," Robinson said.

Robinson said she felt better after hearing about plans to bring in an accountant to assist with cost reporting, one of the main areas she had concerns.

Robinson said she'd had a change of heart on the value of case file reviews ISAC provides.

"It is a benefit to staff. It's outside feedback, so they may hear it a little better. We get that," Robinson said.

Case management directors agreed it's a bad time to end the contract because of "turmoil" surrounding the state's introduction of Integrated Health Homes (IHH) to replace targeted case management services for some individuals with serious mental illness, Robinson said.

"Maybe we should just hang on for another year," Robinson said.

Supervisor John Staszewski asked if the services are worth the cost to the county.

"With all the unknowns this year, yes," Robinson said.

Because the contract renews automatically, no action was required by the supervisors.

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