Provider-Specific Resources

Provider Applications
Provider Enrollment
The Iowa Medicaid Enterprise (IME) has developed a visual aid to help prospective providers better understand the process for enrolling with IME. This only describes the IME enrollment process. Once a provider is enrolled with the IME, they must go through the Managed Care Organization (MCO) credentialing process. Download and print the Provider Enrollment Process Flow Chart
Managed Care Covered Benefits
The Iowa Medicaid Enterprise (IME) has developed a comparison document which provides information on basic required benefits for Medicaid, Iowa Health and Wellness Plan, hawk-i and the Iowa Family Planning Network. View the Comparison Grid here.
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.
Vision Benefit Guide
The Iowa Medicaid Enterprise (IME) has put together a vision benefit summary by plan for the IA Health Link managed care program. Providers can quickly view key contact information and requirements for each plan and each coverage group with this easy-to-use chart. View the vision benefit guide here.
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.
Work Process Flow Charts for Various Medicaid Programs
Iowa Medicaid provides health coverage to more than 640,000 Iowans through a variety of different programs. These programs have processes in place to make sure members get the care they need. Some processes are complex, but important to understand. The Iowa Medicaid Enterprise (IME) has developed visual aids to help members, providers and stakeholders better understand the various processes in place at the IME. 
Translation and Interpretation Services
Medicaid is federally obligated to provide translation services. Translation services are available to IA Health Link members—through their Managed Care Organization (MCO)—and are also available for Iowa Medicaid Fee-for-Service (FFS) membersRead More.
Member Choice

MCO Provider Resources:

Managed Care Organization (MCO) Contact Information 
Managed Care Organization (MCO) Provider Training Presentation Slides 
Amerihealth Caritas
Managed Care Organization (MCO) Provider Resource Pages

Managed Care Organization (MCO) Provider Manuals 
Amerigroup Iowa, Inc. (December 3, 2015)
AmeriHealth Caritas Iowa, Inc. (December 3, 2015)
UnitedHealthcare Plan of the River Valley, Inc. (December 3, 2015)

Additional Resources:

Informational Documents