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 
News and Announcements


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  • Iowa Wellness Plan Benefits Coverage List.  The Iowa Wellness Plan is an Iowa Medicaid program that covers adults ages 19 to 64.  The Iowa Wellness Plan Benefits Coverage List of covered benefits and excluded codes and arranged by category of service is now available for providers.

  • Payment Error Rate Measurement (PERM): Iowa is participating in the Federal Fiscal Year 2014 PERM program. This means that you may be contacted by the CMS national contractor, A+ Government Solutions, Inc., who will collect medical records from you either in hardcopy or electronic format. The medical records request letters will be sent to Iowa Medicaid enrolled providers between June 1, 2014 and August 31, 2014. For more information please review Informational Letters 1340 and 1386.  CMS has also supplied a brief educational video describing the PERM review process.

  • IME 2014 Annual Provider Training: The Iowa Medicaid Enterprise (IME) would like to invite all Iowa Medicaid Providers to the Annual Provider Training workshops that will be offered in 11 different communities throughout the state of Iowa. For more information regarding the Annual Provider Training and the agenda of the training sessions, please read Informational Letter No. 1384 or register online.

  • Medicaid Presumptive Eligibility Portal (MPEP): This new presumptive provider self-service web portal for use by Qualified Entities (QEs) to make presumptive eligibility determinations is now available. For a Presumptive Provider (PP) to enroll and be certified as a Qualified Entity (QE), the PP must go through an enrollment and certification process. Please read Informational Letter 1333 to know more about this important process. Uponcertification as a QE, the PP will be able to log into and utilize the new Medicaid Presumptive Eligibility Portal (MPEP) to make presumptive eligibility determinations.

  • Program Integrity: Safeguarding Your Medical Identity Toolkit: The Centers for Medicare and Medicaid Services (CMS) recently released Program Integrity: Safeguarding Your Medical Identity ToolkitThe Safeguarding Your Medical Identity Toolkit materials discuss the scope and definition of medical identity theft, common schemes using stolen identities, consequences for victims, mitigation strategies, and appropriate actions for potential victims of medical identity theft.
     
  • Iowa Wellness Plan Patient Manager Agreement: Beginning January 1, 2014, the Iowa Wellness Plan will employ new coverage options for adults ages 19 through 64 with income up to and including 100 percent of the Federal Poverty Level (FPL). The Iowa Wellness Plan is an option that will be available in all counties. Each county will require a network of patient managers to monitor and coordinate health care services. The Patient Manager will be the main point of access for healthcare with the members receiving referrals for specialty services within the full Medicaid provider network. Providers that wish to become a patient manager must fill out and submit the Iowa Wellness Plan Patient Manager Agreement. Send the filled out electronic agreement form online by clicking Submit Form.