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 March 1, 2016, pending final federal approval, the Iowa Department of Human Services (DHS) will be transitioning most Iowa Medicaid members to a new managed care program, called IA Health Link. This program will be administered by three contracted managed care organizations (MCOs) that will provide members with comprehensive health care services, including physical, behavioral, and long term care services and support. We encourage providers to contract with the MCOs and continue working with them to complete contracts and credentialing requirements in time for the anticipated March 1, 2016 launch date. 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.

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 

KEEP UP-TO-DATE ON IOWA MEDICAID NEWS FOR PROVIDERS
SIGN UP TO BE ON OUR MAILING LISTS

 
News and Announcements
  • 2016 Medicaid Modernization Update Training for ProvidersThe Centers for Medicare and Medicaid Services (CMS) has issued its decision on the implementation of the IA Health Link managed care program. The program will now begin on March 1, 2016, instead of January 1, 2016. The IME recognizes that provider education is critical in successfully implementing this initiative. In-person provider education sessions on the ongoing program development and transition will be offered in 11 different communities throughout the state. To register for this training, please read Informational Letter 1600-MC or go to the 2016 Medicaid Modernization Update Training for Provider web page.
    Fort Dodge, Sioux City, Cedar Rapids, Des Moines, Ottumwa, and Bettendorf registrations are full. Registration for these cities are now closed.
     

  • Contact Information on the Managed Care Organizations (MCOs): Providers that are looking for more information on the selection of the three Managed Care Organizations (MCOs), Amerigroup Iowa, Inc., AmeriHealth Caritas Iowa, Inc., and UnitedHealthcare Plan of River Valley, Inc. should read Informational Letter 1539. Providers can also obtain the Provider-Specific Contact Information on the four MCOs.
     
  • 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