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State behavioral-health ‘system navigation’ team meets with Chickasaw supervisors to explain new district service
Summary
Iowa Primary Care Association district staff described a new state-run system navigation program — a 'no-wrong-door' phone and navigator service — and offered local collaboration to increase awareness and co-locate services in Chickasaw County.
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Representatives from the Iowa Primary Care Association and Iowa Department of Health and Human Services briefed Chickasaw County supervisors April 13 on a new system navigation program designed to simplify access to behavioral-health services across districts.
Ashley Marciniac, district 3 leader for the Iowa Primary Care Association, described the state reorganization into seven districts that took effect July 1 of last year and said the navigation program provides a centralized, non-crisis, Monday–Friday service to connect residents and providers with available behavioral-health resources. "It's a no-wrong-door approach," she said, and the team aims for warm handoffs and follow-up, not just referral lists.
Sarah Jansen, senior lead navigator for the district, said the service has no eligibility criteria: "Anyone can call," she said. The program offers short-term assistance to find providers who accept particular insurances, provides warm handoffs to local providers and conducts follow-ups to track whether callers connected with services.
County officials pressed the visitors on coordination with jails, committal processes and local gaps in inpatient beds. County attorney Dave noted confusion among frontline staff about new roles and asked how the new system differs from prior arrangements. State and PCA staff said they are not a direct service provider; instead they coordinate funding and connections, monitor gaps and work to fix systemic problems at the state level.
The PCA team offered to supply materials and attend local meetings to increase awareness and said a district assessment and plan will be released publicly once finalized. Officials agreed to continue follow-up discussions to identify local access points and potential co-located services in Chickasaw County.
Next steps: PCA staff will provide contact information and presentation materials to the county and explore opportunities to open a local navigator site and coordinate with public health and local providers.

