Rules and Policies

Provider Manuals
This section outlines a complete listing of all the technical and instructional manuals used by recognized provider types as specified by the Iowa Medicaid Enterprise (IME). Each of the provider manual is specific to a service offered by the IME and is designed to guide an IME Provider with clear and concise outlines of what services are covered or not covered under that service. Additionally, the manuals also provide instructions on how to read and complete the various forms required by the IME for each offered service. These manuals serve as a very important tool for providers in helping them ensure a more seamless administrative process involving IME guidelines, billings, and documentations.

Iowa Administrative Code and Rules
This section deals directly with the Office of Policy Analysis of the Iowa Department of Human Services (DHS). It outlines two fundamentally important sections, the DHS Policy and Procedure Manuals and the DHS Administrative Rules. The DHS Policy and Procedural Manuals provide instructions for DHS staff and contracted vendors on the administration of various DHS programs. These manuals are the official DHS interpretation of federal and state laws as they pertain to the various administered programs and serves as a guideline for proper administration. The DHS Administrative Rules section outlines current rules, the docket of proposed rule changes in process, a list of upcoming public hearings on proposed rules, and summaries of public comments on rules. Iowa Administrative Codes (IAC) outlines the rules and addresses how the Iowa code and Iowa laws are managed by various agencies. The IAC are how state agencies and departments implement the administrative rules every day. It is utilized by many different Iowa regulatory agencies, such as The Department of Inspections and Appeals, The Department of Public Health, and The Department of Human Services (including the Iowa Medicaid Enterprise).

Informational Letters
This section is a list of correspondence sent out by The Iowa Medicaid Enterprise (IME) to update providers on any policy changes that will affect them. All Informational Letters are organized by their year of publication and assigned numeric sequence of the Informational Letter. The Information Letters in this section are also an important cross reference for any new policy changes that have been implemented but are not yet reflected in the published Provider Manual.