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!

Iowa Medicaid invites you to sign up for our provider-specifc Informational Letters (ILs) on the Iowa Medicaid Portal Access (IMPA) system and Medicaid e-News. To better assist you in providing continued care to our members, please see below for additional information on how to be included in these mailings.

  • ​The Iowa Medicaid Enterprise publishes provider bulletins called Informational Letters (ILs) that are necessary to clarify and explain new and existing programs and policy. All ILs are published through the Iowa Medicaid Portal Access (IMPA) system and all ILs are posted and accessible on the DHS website where they will remain and will also be incorporated into the provider manuals as appropriate.
  • ​Iowa's Medicaid e-News is a weekly newsletter featuring ILs, important updates, and a variety of resources. Past issues of Medicaid e-News are all posted and accessible on the DHS website.
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
  • 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.
     
  • 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.