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 cost-effective access to health care for Iowa Medicaid members. On April 1, 2016, the Iowa Department of Human Services transitioned most Iowa Medicaid members to a managed care program called IA Health Link. This program is administered by three contracted Managed Care Organizations (MCOs) that provide members with comprehensive health care services, including physical, behavioral and long term care services and support. We encourage all providers to contract with the MCOs and to continue working with them to complete contracts and credentialing requirements. Contracting with the MCOs is necessary to continue providing care to Medicaid members. For more information regarding the Iowa Medicaid transition to managed care, please read the IA Health Link  Managed Care Program Provider Toolkit or the IA Health Link Frequently Asked Questions. You will also find more provider-specific information regarding the managed care transition on the Medicaid Modernization web page.


Stay informed on the most up-to-date information, changes, and policies regarding Iowa Medicaid!

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
  • Vision Benefit Guide

    The Iowa Medicaid Enterprise (IME) has put together a vision benefit summary by plan for the IA Health Link manged care program. Members can quickly view key contact information and requirements for each plan and each coverage group with this easy-to-use chart. View the vision benefit guide here.

  • Work  Process Flow  Charts for Various Medicaid Programs: Presented below are flow charts that outline different work flows that illustrate various policies and processes for various Medicaid programs.

  • Translation and Interpretation Services for Members: Iowa Medicaid can arrange for an interpreter to help members speak with us in almost any language. Members should call Iowa Medicaid Member Services for help at 1-800-338-8366 or locally in the Des Moines area at 515-256-4606. Read More.
     

  • New IA Health Link Informational Video for Members and Providers: Iowa Medicaid has produced a new informational video for members titled, How to Choose a Managed Care Organization that helps members navigate the IA Health Link enrollment process with a Managed Care Organization (MCO). Iowa Medicaid has also put out a similar informational video for providers titled, Provider Education and Participation that helps providers with their MCO enrollment process. The videos are designed to assist both members as well as providers in getting a better understanding of the enrollment process.
     

  • IA Health Link Virtual Rountable Discussion for Providers: On April 26, 2016, the Iowa Department of Human Services conducted a virtual roundtable discussion that was designed for medical providers. The discussion focused on the IA Health Link managed care program and gave medical providers the opportunity to ask questions about the transition to managed care. The goal of the panel was for the state and managed care organizations to hear directly from providers across Iowa and address any remaining concerns now that the transition to IA Health Link managed care has begun. You may now view a recording of the virtual roundtable discussion

     

  • Prior Authorization (PA) Summary by Plan: The Iowa Medicaid Enterprise (IME) has put together a prior authorization (PA) summary by plan. Quickly view and compare PA requirements for each plan with this easy-to-use chart. Download and print the PA requirements by plan.
     

  • Managed Care Quick Reference Guide: The Iowa Medicaid Enterprise (IME) has put together a useful resource guide for the front desk or administrative staff of providers which includes important phone numbers, claims submission information and more. Download and print the Managed Care Quick Reference Guide.

IA Health Link Provider-Specific Information Materials