IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

Message from the Ombudsman

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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About CMS Newsroom

Centers for Medicare & Medicaid Services

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it > Medicare-Medicaid Coordination > Medicare-Medicaid Coordination Office > Qualified Medicare Beneficiary (QMB} Program

Qualified Medicare Beneficiary (QM B) Program

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

Number of Partially or Fully Substantiated Investigated MCO
Cases
300

Completed Investigations
i;;;;;;i Partially or Fu lly Substantiated

Number of MCO Cases Opened

-

MCO Cases Opened

250

300

250

200

200
150

15.0

100

100

50
50

0

FY18

FY19

FYl-0

FY21

FY22
FY18

■ other

■

FY19

FY20

FY21

FY22

Pha rma,cy
2

Nursing Facility Issues ~ 5
1%

■

Billing/Payment

26%

HCBS Getiera l Issues

Medica l Services,_ _ _ _ _ __

12%

38%
■ MCD Choice

1%

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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TOP 5 PRISON COMPLAINTS

Mail
171 _

Hea Ith Servkes
392

"-

·C ustody/ Oassifii ation
118

- - -- Discipline·
3'67

TOP 5 JA'IL COMPLAII NTS

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Custody/Classifiication " "
74

Staff Conduct
1B

'

~~---"'

/
'

Conditions of ,conf i hem e-n
211

Hea Ith Se·rvi,ces
437

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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....~-

FY22

2048
920

FY21

FY20

FY19

792
831

FY18
■

FY17
FY16

Pri'sons

■ County

Jails

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

Office of Ombudsman
FY21 and FY22 Financial Information

Presented to meet the requirement that state government annual reports
to the Legislature include certain financial information.

2,000 ,000
1,800,000
1,600,000
1,400,000
1,200,000
1,000,000
800,000
600,000
400,000
200,000

Number of Cas.es.Op,ened FY12 - FY22

16 000
5000

4000
1000

2000
1000
0
FY12 FY13 FY14 FY15

FY116 FY17 FY18 FY19 FYlO FY1 1

FY11

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

Subjects.of Cases
State Government
19'%
County Jai ls
1'6%

Local Government
.20%

Corrections
32%

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT
A
gency
State Go'llernment
A dministrative Se rvice s
Aging
Agri cultu re & Land St ew ard shi
Attorney General/ Department of Justice
A udito r
Blind
Civi l Right s Comm ission
College A id Commission
Commerc e
Corrections
County Soil & W ate r Conse rvati on Districts
Cultural Affairs
Dru g Contro l P olic
Economic Develo ment
Educati on
Educational Exa miners Board
Eth ics and Campaign Discl osure Board
Ex ecutive Council
Human Ri ht s
Hu man Servic es
lnde endent Professional Licensure
lns P-ections & A pP-eals
Institute for Tomorrow s W orkforc e
Iowa Communication Netw ork
Iowa Fi nance A uth ority
Iowa Lotte ry
Iowa Pu blic E m lo ees Reti re ment Sy ste rr
Iowa Pu blic Information Board
Iowa PBS
Law Enforce ment Acade my
Manag·ement
Munici al Fire & Police Retire ment Sy ste rr
Natu ral Res ources
Office of Ombuds man
Paro le Board
Professional Teachers Practice Commissio
Public Defense
Pu blic Em loyment Relations Board
Public Health
Pu blic Safety:
Rege nt s
Revenue & Finance
S ecretary of State
State Fair Authority
Sta.l e Govern ment Genera l)
TransRortation
Tre asu re r
V eterans Affairs Commission

City Govern m ent
County Govern ment
Metropolitan/ Regional Govern ment
Community Based Correctional Facilitie s/ P
Sc hools & Sch ool Distri ct s

. . .
Jurisdictional
Non. N~n-_
Junsd1ct1onal
.
J . d" .
Junsd1ctmal
I f
Complaints
nRormation
ur1•sc iction Information
equests
a
ases
R
t
eques s

6
3
0
9
2
1
12
1
11
1948
0
0
0
1
6
1
0
0
0
510
7
29
0
0
12
0
2
1
0
2
3
0
3
5
37
0
1
0
9
15
13
33
1
1

1
90

0
0

1
0

0
2
50
9
0
1
0
2
0
1
1
1
0

1
0
0
0
0
0

0
0
0
0
0
0
0
0

.

Special
Projects

0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
1
0

T
ota

8
93
0
10
2
1
12
1

7
1
0
0
0
543
8
32
0
0
12
0
2
1
0
2
4
0
5
61
46
0
2
0
11
15
14
34
2
1

I

Percentage
of Total

0_12%
1-43%
0_00%
0_15%
0_03%
0_02 %
0_19%
0_02 %
0-25%
31 _63%
0_00%
0_00%
0_00%
0_02%
0_11 %
0_02 %
0_00%
0_00 %
0_00%
8 _37%
0_12%
0-49%
0_00%
0_00 %
0_19%
0_00%
0_03%
0_02%
0_00%
0_03%
0_06%
0_00%
0_08%
0_94%
0_71 %
0_00%
0_03%
0_00%
0_17%

023%
0-22%
0_52%
0_03%
0_02 %

IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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IOWA OFFICE OF OMBUDSMAN FY2022 ANNUAL REPORT

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