071019 504 The state of Iowa has agreed to pay two private insurance companies an additional 386 million state and federal dollars to operate the state’s Medicaid program. Under the newly-signed contracts, Iowa Total Care and Amerigroup will receive an eight-point six percent increase for the current fiscal year, which began on July 1. State Medicaid Director Mike Randol told the Council on Human Services on Wednesday that reasons for the increase include changes in program and legislative