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
  • 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.

  • Core Standardized Assessment (CSA) for Elderly Waiver Webinar Listening Sessions: The IME, on behalf of the Balancing Incentive Program (BIP), announces plans to conduct webinar listening sessions to solicit input from stakeholders on the IME selection of a core standardized assessment for the Elderly Waiver and design the assessment process. Please read Informational Letter 1503 to learn more and to register for the webinar listening sessions. Visit the CSA webpage to learn more about Core Standardized Assessment.

  • New Consumer Choices Option (CCO) Training Webinar: HCBS Quality Oversight will conduct a web-based training session regarding the HCBS Waiver self-direction program, the Consumer Choices Option. The webinar will cover a general overview of CCO including the philosophy of self-direction, eligibility, allowable service types, responsibilities of those involved, budgeting and savings plans. The webinar will be conducted on Tuesday, May 12, 2015, from 1:00-2:15 p.m. Read Informational Letter 1501 for more information on how to register and participate in the online training 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)

    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
  • ICD-10 is coming. Are you ready? As announced in Informational Letter 1440the Iowa Medicaid Enterprise (IME) can no longer accept claims with ICD-9 codes for services delivered on or after October 1, 2015, and inpatient discharges occurring October 1, 2015 or after.  Registration for Iowa Medicaid Enterprise (IME) ICD-10 Volunteer Testing is now open. To register for testing, please contact the IME Provider Services Unit at 1-800-338-7909, or locally in Des Moines at 515-256-4609 or by email at ICD-10project@dhs.state.ia.us.