Provider Services Contact Directory

Provider Services
1-800-338-7909 (Toll Free)

Services Offered:
Provider inquiries regarding claims, credit/adjustments,provider enrollment and status of application.

Contact Information:
P.O. Box 36450
Des Moines, IA 50315
1-800-338-7909 (Toll Free)
515-256-4609 (Des Moines area)
515-725-1155 (Fax)
IMEProviderServices@dhs.state.ia.us (Email)

Operating Hours:
Monday - Friday
7:30 am - 4:30 pm

  • Eligibility Verification System (ELVS)
    1-800-338-7752 (Toll Free)

    Services Offered:
    Medicaid eligibility verification tool using automated voice response.

    Contact Information:
    800-338-7752 (Toll Free)
    515-323-9639 (Des Moines area)
    ELVS Portal

    Operating Hours:
    24 hours per day 7 days a week

  • Provider Audits and Rate Setting (Provider Cost Audit)
    1-866-863-8610 (Toll Free)

    Services Offered:
    For questions related to submitted Medicaid cost reports and cost settlement payments.

    Contact Information:
    P.O. Box 36478
    Des Moines, IA 50315
    866-863-8610 (Toll Free)
    515-256-4610 (Des Moines area)
    515-725-1353 (Fax)

    Operating Hours:
    Monday - Friday
    8:00 am - 5:00 pm

  • Medical Support
    1-800-383-1173 (Toll Free)

    Services Offered:
    This unit consists of medical professionals and affiliated staff that provide medical review consideration on specific areas such as coverage and benefits as well as assisting with exceptions to policy, prior authorizations and appeals.

    Contact Information:
    P.O. Box 36478
    Des Moines, IA 50315
    800-383-1173 (Toll Free)
    515-256-4623 (Des Moines area)
    515-725-1355 (General Fax)
    515-725-1349 (Fax Long Term Care)
    515-725-0931 (Fax Remedial Authorization)
    515-725-0420 (Fax Remedial Progress Notes)

    Operating Hours:
    Monday - Friday
    8:00 am - 4:30 pm

  • Medical Prior Authorization
    1-888-424-2070 (Toll Free)

    Services Offered:
    For providers requesting 
    medical prior authorization (PA), pre-procedure requests, and to provide supporting documentation for prior authorizations including medical reports, photos and x- rays.
    Contact Information:
    P.O. Box 36478

    Des Moines, IA 50315
    888-424-2070 (Toll Free)
    515-256-4624 (Des Moines area)
    515-725-1356 (Fax)

    515-725-0938 (Dental PA Fax)
    Operating Hours:
    Monday - Friday

    8:00 am - 4:30 pm
     
  • Program Integrity
    1-877-446-3787 (Toll Free)

    Services Offered:
    For clinical records requests, payments related to findings and to report fraud referrals.
    Contact Information:
    P.O. Box 36390
    Des Moines, IA 50315
    877-446-3787 (Toll Free)
    515-256-4615 (Des Moines area)

    515-725-1354 (Fax)

    Program Integrity Webpage
    Operating Hours:
    Monday - Friday
    8:00 am - 4:30 pm

     
  • Third Party Liability (TPL)
    1-866-810-1206 (Toll Free)

    Services Offered:
    Coverage updates from insurance carriers, insurance carrier payments, and claim adjustments due to third party liability.
    Contact Information:
    P. O. Box 36475
    Des Moines, IA 50315
    866-810-1206 (Toll Free)
    515-256-4619 (Des Moines area)
    515-725-1352 (Fax)

    Operating Hours:
    Monday - Friday
    8:00 AM - 4:30 PM

  • Pharmacy Prior Authorization (PA) Hotline
    1-877-776-1567 (Toll Free)

    Services Offered:
    Prior authorization for prescriptions.
    Contact Information:
    877-776-1567 (Toll Free)
    515-256-4607 (Des Moines area)

    1-800-574-2515 (Fax Only)
    Operating Hours:
    Monday - Friday
    8:00 AM - 5:00 PM
    Fax number is operational 24/7
     
  • Pharmacy Point-of-Sale (POS) Hotline
    1-877-463-7671 (Toll Free)

    Services Offered:
    Provider inquiries regarding claims, credit/adjustments, specific to pharmacy. Drug rebate including supplemental.
    Contact Information:
    P.O. Box 310195
    Des Moines, IA 50331-0195

    877-463-7671 (Toll Free)
    515-256-4608 (Des Moines area)

    Operating Hours:
    Monday - Friday
    8:00 AM - 5:00 PM

  • Electronic Data Interchange Support Services (EDISS)
    1-800-967-7902 (Toll Free)

    Services Offered:
    Enrollment for EDI transactions, PC-ACE Pro32 related questions, password resets (Total On-Boarding (TOB), Bulletin Board System (BBS) or the Iowa Medicaid Web Portal), and electronic claim submission ANSI formatting related questions.
    Contact Information:
    800-967-7902 (Toll Free)
    EDISS Web Portal

     
  • Medicaid Claims 
    1-800-338-7909 (Toll Free)

    Services Offered:

    For submission of paper Medicaid claims. Includes all submissions within 1 year from date of service and retroactive eligibility claims between 12 to 23 months from the date of service.
    Contact Information:

    P.O. Box 150001
    Des Moines, IA 50315
    800-338-7909 (Toll Free)
    515-256-4609 (Des Moines area)