The governor here in Iowa is having the state do Medicaid Modernization. He plans on having 2-4 private companies run all Medicaid. I have heard that my son and mom, both on Medicaid funded waivers will likely lose their case managers. Instead, they will have case coordinators, but the ratio of client to case coordinator will be about 300 to 1. Does anyone else live in a state where Medicaid Modernization has happened? What can you tell me about it?