2018 Informational Letters

Effective on and after August 15, 2016, all Informational Letters published include a modifier after the Informational Letter number that designates which program(s) the Informational Letter applies to. The modifiers are: MC for Managed Care, FFS for Fee-for-Service and D for Dental. For example, Informational letters that pertain to managed care are designated with the letters "MC" at the end of the Informational Letter number. All Informational Letters for 2018, regardless of modifier, are included here. For more information see IL 1710.

Published Informational Letters

Letter #         Description Issue Date Effective Date

Financial and Statistical Report, Form 470-0030 (Cost Report)
Cost Report Instructions
Long Term Care Facility Cost Report

06/12/2018 01/31/2019
1913-MC-FFS-D Ordering, Prescribing, or Referring Practitioners 06/15/2018 Immediately
1912-MC-FFS Billing Telehealth Services 06/08/2018 Upon Receipt
1911-MC-FFS Coverage of Breast Pumps under Durable Medical Equipment (DME) 06/07/2018 07/01/2018
1909-MC-FFS Accredited Crisis Response Services and Licensed Subacute Mental Health Services 06/01/2018 02/08/2018
1908-MC-FFS-D Same Day Billing for Multiple Encounters with Multiple Diagnoses 05/17/2018 Immediately
1907-MC-FFS Iowa Medicaid Pharmacy Program Changes High Dose Opioids 05/17/2018 07/01/2018
1906-MC-FFS Billing Telehealth Services
Replaced by Info Letter 1912-MC-FFS
05/24/2018 Upon Receipt
1905-MC-FFS-D IA Health Link- Managed Care Wraparound Payments 05/07/2018 Immediately
1904-MC-FFS Home- and Community-Based Services (HCBS) Settings Extension Date 05/03/2018 Upon Receipt
1903-MC-FFS Home- and Community-Based Services (HCBS) Quality Assurance Oversight Reviews 04/25/2018 Upon Receipt
1902-MC-FFS Iowa Medicaid Pharmacy Program Changes 04/26/2018 06/01/2018
1901-MC-FFS Emergency Room (ER) Visits and Emergency Diagnosis Codes 04/23/2018 07/01/2018
1900-FFS-D Iowa Medicaid Provider Enrollment Tips 04/12/2018 Immediately
1899-FFS Timely Filing Reminder 04/12/2018 Immediately
1898-MC-FFS HCBS Claim for Targeted Medical Care and Daily Service Record 05/24/2018 07/01/2018
1897-MC-FFS Physician-Administered Drugs and National Drug Code (NDC) Billing Requirements Update 04/12/2018 06/01/2018
1894-MC-FFS Blood Glucose Monitor Billing 03/05/2018 Immediately
1893-FFS-D Collection of Outstanding Identified Overpayments 03/05/2018 Immediately
1892-FFS Reminder of Alien Emergent Medical Condition of Coverage 03/02/2018 Immediately
1891-MC-FFS Iowa Medicaid Pharmacy Program Changes 02/20/2018 04/01/2018
1890-MC-FFS Accredited Crisis Response Services and Licensed Subacute Mental Health Services
Replaced by IL 1909-MC-FFS
02/22/2018 02/08/2018
1889-MC-FFS IA Health Link Members to Regain Choice 02/14/2018 Immediately
1888-MC-FFS Election of Hospice Benefits 02/14/2018 02/07/2018
1887-MC-FFS Attestation and Election Form for Drug Purchasers 02/08/2018 Immediately
1886-MC-FFS Medically Exempt Application Reminders 02/12/2018 Upon Receipt
1885-FFS-D Electronic Health Record (EHR) Incentive Program for Eligible Providers (EPs) 02/08/2018 Immediately
1884-FFS-D Long Term Care (LTC) Admissions and Medical/Dental Prior Authorizations (PA) Processes 02/05/2018 Upon Receipt
1883-MC Out-of-Network Reimbursement for Managed Care Claims 02/05/2018 Immediately

Low Utilization Payment Adjustment (LUPA) Reimbursement Rate Rebase

Iowa HHA LUPA Wage Indexes and Rate

02/05/2018 Immediately
1881-MC-FFS Health Home Services 01/31/2018 Immediately
1880-MC-FFS Site of Service (SoS) Differential Update 01/29/2018 02/01/2018

Extrapolation of Findings from Program Integrity Reviews

01/23/2018 02/23/2018
1878-MC-FFS Anesthesia Conversion Factor and Base Unit Updates 01/23/2018 02/01/2018
1877-FFS-D Iowa’s Participation in the Federal Fiscal Year (FFY) 2017 Payment Error Rate Measurement (PERM) Program 01/16/2018 Upon Receipt
1876-MC-FFS-D Change in Provider Enrollment Application Fee 01/16/2018 01/01/2018
1875-MC-FFS Pharmacy Cost of Dispensing Survey 01/09/2018 Upon Receipt
1874-MC-FFS Provider Enrollment for Chapter 24 Accredited Crisis Response Services and Subacute Mental Health Services 01/09/2018 Upon Receipt
1871-MC-FFS Multiple Procedure Payment Reductions (MPPR) for Therapy Claims 01/10/2018 01/01/2018