Medicaid Modernization: The 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.
HCBS Waiver and Nursing Facility (NF) Level of Care (LOC) Review Process Webinar: The IME Medical Services Unit and DHS Policy staff will conduct a webinar on Wednesday, June 3, 2015 regarding the HCBS Waiver and Nursing Facility LOC review process. This review process involves the following waivers: AIDS/HIV, Elderly, Health and Disability, and Physical Disability. Please read Informational Letter 1509 for more information and to register for the webinar.
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)
- The CDAC Agreement
- Daily Service Record (DSR)
- Claim for Targeted Medical Care (TMC)
- CDAC Procedures
- Audits and Reviews