Provider Services


The Iowa Medicaid Enterprise (IME) is privileged to work with talented and qualified professional health care providers in the State of Iowa. The IME works in collaboration with our partners in the health care industry in order to provide quality and the most cost-effective access to health care for Iowa Medicaid members. Please consider joining our provider network in caring for Iowa's most vulnerable population.

Provider Services Contact Information
800-338-7909 Toll Free 
515-256-4609 (Des Moines area) 
515-725-1155 (Fax) 
 
Provider Services 
P.O. Box 36450 
Des Moines, IA  IA 50315 

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News and Announcements
  • ICD-10 Provider Readiness Survey: The IME is conducting the fifth in a series of ICD-10 tracking surveys to determine if providers are impacted by the change to the ICD-10 code sets and to gauge the progress toward readiness for implementation. The survey must be completed by 12:00 pm (US Central Time), August 3, 2015. Please read Informational Letter 1523 for more information. You may also go directly to the survey, complete it, and send to the IME electronically before the deadline.

  • Medicaid ModernizationThe Iowa Department of Human Services (DHS) released a Request for Proposal (RFP) for Governor Branstad's Medicaid Modernization on February 16, 2015. This initiative aims to improve the coordination and quality of care while providing predictability and sustainability for taxpayers in Medicaid spending. The RFP, titled the Iowa High Quality Health Care Initiative, asks for bids from potential vendors as the state moves toward a risk-based managed care approach for Iowa’s Medicaid program. Learn more by accessing the dedicated web page.

  • Provider Application Fees: The Iowa Medicaid Enterprise will require an application fee for newly enrolling and re-enrolling organizational providers effective January 1, 2015. Code of Federal Regulations section 455.460 requires organizational providers to pay the application fee with initial applications for new enrollment, applications for a new practice location and any re-enrollment. For more information, please refer to the Frequently Asked Questions or contact Provider Enrollment at 1-800-338-7909 (option 2) or in Des Moines 515-256-4609 (option 2) or by email at IMEProviderServices@dhs.state.ia.us

  • CDAC Training Video: Learn more about being a CDAC provider by downloading the CDAC training video. You will be downloading a .zip file and when the download is complete, you will be able to view the training video. The training video is divided into six video segments: (download the training video)

    1. Introduction
    2. The CDAC Agreement
    3. Daily Service Record (DSR)
    4. Claim for Targeted Medical Care (TMC)
    5. CDAC Procedures
    6. Audits and Reviews