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Mobile integrated health program with 92 patients looks to county for bridge funding or billing options
Summary
Officials described a Mobile Integrated Health (MIH) program serving roughly 92 weekly patients and discussed short-term county support, modest co-pay or insurance billing to sustain services after grant funding ends.
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Representatives for Scott County's Mobile Integrated Health (MIH) program told commissioners the service now sees roughly 92 patients and covers vehicles, fuel, medical supplies and some payroll needs.
"They have 92 patients," the MIH program representative said, adding the program often serves 15–17 patients per day and has considerable mileage and supply costs. Commissioners discussed modest patient co-pays (for those with ability to pay), pursuing Medicare/Medicaid billing or seeking state grant assistance to sustain the program if initial grant funding ends.
MIH staff said their model avoids many costly ambulance and emergency-room visits by providing in-home care and follow-up, and argued a small fee (the conversation assumed $20–$30 per visit) could help sustain operations without deterring access. Commissioners said they would study options and noted state-level billing pathways are evolving that could allow partial reimbursement for Medicare/Medicaid patients by 2028.

