Iowa Medicaid and transplants

The financial dept is a joke. My daughter is 36 and needs a heart and double lung transplant. She moved to Iowa from Montana to get the Medicaid while waiting for Medicare ssdi to come thru and of course they deny her saying she can still work (another joke). So going by what others at Mayo told us to do, she moved to Iowa we got the Medicaid and changed to the mco that works with Mayo and then the financial dept tells us nope they don't work with mco's saying my daughter has to have straight Medicaid. I called Iowa Medicaid and the Iowa ombudsman office and straight Medicaid is rarely used at all and is only for American Indian and another ethnicity my daughter isn't. So i called back to the mco who said yes they work with Mayo we just need to send in referral and a prior authorization/single case agreement. So i called Mayo financial back to ask if that will work and was told nope we won't take the either!!!!! There is no where in Iowa or where she was living that can help her with the procedure she needs and today i had to point out to the financial services team lead where it says on the Mayo website that it does take Medicaid from Iowa and works with the mco's!!!! Really???? It's been over a month trying to be seen for an evaluation and in the meantime my daughter is getting worse and worse. I'm was told I'd be called back today since she has to look into the mco thing and see if it's only going to be accepted for general appts or if my daughter can be helped or not, like trying to find anything in order to tell us nope again. Does anyone in Iowa have any experience with this? Letting my daughter die because of incompetent employees in the dept. Iowa insurance is telling me what to send in and we have so how can they refuse my daughter???