Medicaid Provider Services



IMPORTANT UPDATE--TEMPORARY SUSPENSION OF MCO CHOICE

AmeriHealth Caritas Iowa, Inc. withdrew from the IA Health Link managed care program effective November 30, 2017. AmeriHealth Caritas members have been assigned to UnitedHealthcare. The department has put in place a temporary suspension of Managed Care Organization (MCO) choice.
 
Previously the Department notified members they would be able to choose Amerigroup Iowa. Due to concerns with capacity, Amerigroup Iowa is not accepting any additional members at this time. This also includes all new IA Health Link members. In the future members will be able to choose from multiple MCOs. Members will be notified when that choice is available. 
 
AmeriHealth Caritas’ members transitioned to UnitedHealthcare effective December 1, 2017. Learn more by reading the sample member letter, the Press Release and the FAQs below.   
 

FAQ for Members

FAQ for Providers

Updated information will be posted as it is available. Please check back regularly.

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!

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
  • New Medicaid Director Appointed to DHS: The Iowa Department of Human Services (DHS) announced Friday that Michael Randol has been appointed director of the Iowa Medicaid Enterprise (IME). Read the press release
     

  • Home- and Community-Based Services (HCBS) Intellectual Disability (ID) Waiver Tiered Rate Fee Schedule:  The following are the procedure codes and tiered rate fee schedule for the ID Waiver daily SCL, full day Day Habilitation and full Adult Day Care services. Access the HCBS ID Waiver Tiered Rate Fee Schedule.

IA Health Link Provider-Specific Information Materials