Annual Provider Training 2016


The 2016 Annual Provider Training will primarily focus on the IA Health Link transition to managed care. These training sessions will be facilitated by the IME and will have representatives from the three Managed Care Organizations (MCOs). Each session will include an update from the IME, followed by detailed presentations from each of the three MCOs. After the presentations, participants will be able to ask the MCOs and the IME questions. Additionally, each MCO will have staff available before and after to answer individual questions from providers.

These provider education sessions will be offered in 11 different communities throughout the state. In an effort to meet the anticipated demand for information, the IME will be dividing the provider trainings into two provider categories. 


CLICK HERE TO REGISTER FOR THE ANNUAL PROVIDER TRAINING:
View the schedule and locations of the training sessions. Once you have reviewed the training sessions that are offered, you may complete and submit the associated online registration form. This information is also available in Informational Letter 1709-MC-FFS-D. View the schedule and locations of the training sessions.

Topics that will be covered include:
MCO Topics:
  • Claims adjudication Process
    • Common Denial Reasons
    • Denial Resolutions
    • Timeliness
  • Prior Authorizations
  • Appeals
    • Informal
    • Formal
  • Communication
IME Topics:
  • MCO Assignment Process
  • Fee-for-Service (FFS) Updates
    • Current Procedural Terminology (CPT) Codes
    • Healthcare Common Procedure (HCPS) Codes
  • Cost Reports
  • Communication
  • Oversight

PRESENTATION SLIDES FOR THE 2016 ANNUAL PROVIDER TRAINING

The following training presentation slides will be used at the Iowa Medicaid Annual Provider Training sessions.
Iowa Medicaid Presentation Slides
Managed Care Organization (MCO) Presentation Slides
 

Information about registering for the training sessions:

The IME will use an online registration form to manage the training sessions scheduled for each of the 11 designated communities. The online registration will simplify the sign-in process at each venue. There will be two training sessions divided into two provider categories in each designated community covering content specifically designed for the provider types in attendance (one in the morning for professional providers and one in the afternoon for Long Term Care providers)View the schedule and locations of the training sessions.
  • If you are unable to complete and submit the registration form for any reason please contact the Provider Services Unit at 1-800-338-7909 and a representative will complete a form on your behalf.
  • Please plan on attending your selected Session at the designated date and time. You will be contacted by the IME if we are unable to accommodate your request. If you are unable to register because a session is fully booked, please review the schedule of the site sessions for a different location near your community.
  • Seating at all venues will be limited, so please ensure all staff who register plan to attend.
  • Actual session end times may vary depending on attendee participation. The time frames provided are an estimate and we ask that you plan accordingly.
  • There is no cost to attend these sessions.

If you have any questions, please contact the IME Provider Services Unit, 1-800-338-7909 (toll-free), 515-256-4609 (locally) or by email at imeproviderservices@dhs.state.ia.us.