MED-16-009 Iowa High Quality Health Care Initiative RFP, Contracting and Rates Information

Managed Care Organization Contract Information

1. Amerigroup Contract, Signatures

2. AmeriHealth Caritas Iowa Contract, Signatures

3. UnitedHealthcare Plan of River Valley Contract, Signatures

4. WellCare Contract, Signatures

Capitated Rates Information, Report 1 - Report 2

High Quality Health Care Initiative Information About Selection of Bidders

Notice of Intent to Award

Evaluation Materials

Recommendation of the Evaluation Committee

Select Strengths and Weaknesses of Technical Proposals

Evaluation Score Card Document 

Request for Proposal (RFP) for the Iowa High Quality Health Care Initiative

Bid Proposals

To view visit the Bid Proposals page.

Iowa Medicaid Enterprise - General Information

Claims Paid Information:

Eligibles:

Guide:

Table of Organization:

Quarterly Reports:

Iowa Medicaid Enterprise - Operational Procedures

Core Operations:

Medical Services Operations:

Pharmacy Medical Services Operations:

Pharmacy Point of Sale Operations:

Program Integrity Operations:

Provider Cost Audit Operations:

Provider Services Operations:

Revenue Collections Operations:

Iowa Medicaid Program Information

Balancing Incentive Program:

HCBS:

TPL Plan

SIM information -  http://dhs.iowa.gov/ime/about/state-innovation-models

IPES survey 

CAHPS - https://cahps.ahrq.gov

VIS

De-identified Enrollment for GeoAcesshttp://dhs.iowa.gov/sites/default/files/De-identified_Enrollment_for_GeoAccess.xlsx

Medicaid Providers by Typehttp://dhs.iowa.gov/sites/default/files/Medicaid_Providers_by_Type.xlsx

Enrollment by Eligibilityhttp://dhs.iowa.gov/sites/default/files/Enrollment_by_Eligibility.xlsx

Health Home Information

FQHC and RHChttp://dhs.iowa.gov/sites/default/files/RHCAndFQHC2015-03-20B.XLSX

Enrolled Providers Searchhttps://secureapp.dhs.state.ia.us/providersearche/

Core Standardized Assessment

Pharmacy

Outlier Information

IDPH Behavioral Health

Maternal Health, Child Health, and Family Planning Agencies

IHIN Information

IDPH Public Health Services

Ownership and Disclosurehttp://dhs.iowa.gov/sites/default/files/470-5186_Ownership-and-ControlDisclosure_0.pdf

Money Follows the Person (MFP):

Preadmission Screening abd Resident Review (PASRR):

Iowa Medicaid State Plan and Waivers

Wellness and MPC special terms and conditions documents

SPA Pages - http://dhs.iowa.gov/ime/about/stateplan

1915i application

1915(c) waivers - http://dhs.iowa.gov/ime/about/initiatives/HCBS/waiver-amend

IHWP Fed Documents - http://dhs.iowa.gov/ime/about/iowa-health-and-wellness-plan/ihawp-fed-docs

 

Iowa Mental Health Redesign Information

Overview:

Overview of 2012 Legislation:

SF 2315-Regions:

Iowa Healthiest State Initiative

Presentation from RFP MED 16-009 Bidders' Conference

Additional Information as of May 21, 2015

Additional Information as of July 14, 2015

Additional Information as of July 31, 2015

Provider Reimbursement