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Council reports on ACAD visit and River Hills plans for mobile clinic

Wapello County Emergency Medical Services Advisory Council · July 15, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Members who visited Adair County Ambulance District described Mobile Integrated Health practices; River Hills is exploring a mobile clinic and plans to staff it with a Nurse Practitioner to allow billing because Medicare/Medicaid currently will not reimburse for a paramedic in that role.

Council members Tim Richmond, Amanda Hull and T.J. Millikin reported on a July 1 visit to the Adair County Ambulance District to observe Mobile Integrated Health (MIH) and community paramedicine operations; meeting notes will be circulated to the group. The visit prompted follow-up meetings with local partners to assess how MIH services could be structured in Wapello County.

Representatives from River Hills (Joy) told the group they are considering a mobile clinic and are discussing an application to the state that could align with upcoming legislation supporting MIH programs. Joy said River Hills was considering placing a Nurse Practitioner in the mobile-clinic position "so they can bill for the service due to Medicare/Medicaid not paying for it to be a paramedic in the position as of yet." River Hills and Ottumwa Regional Health Center staff plan to meet to draft how an application could look.