Policy Clarifications


This section is a list of correspondence sent out by Iowa Medicaid to clarify policy that affects each Managed Care Plan’s operation. Each of the policy clarifications listed here have been provided to the managed care plans. The managed care plans have attested to each policy clarification based on Iowa Medicaid business practices at the time of issuance.

While policy clarifications can affect providers, they may be specifically related to Managed Care Plan operational expectations. The Policy Clarifications in this section are also an important cross reference for any new informational letters and policy clarifications that have been implemented but are not yet reflected in the published Provider Manual.

Policy Clarifications (PCs) is a new tool available to our providers. In the past, PCs were made available upon request and were not made public. All historical PCs will have an issue date of April 8, 2022, for your reference.

The latest 10 Policy Clarifications appear below. To access other Policy Clarifications, use the search box, or perform an advanced search by clicking "Search Provider & Program Key Words/Year”.

          
                            

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Iowa Medicaid Policy Clarifications

 




Letter # NameIssue DateEffective DateReplaced By
PC000284 Pc000284 - Case Management Training11/22/2024Immediately
PC000286 Pc000286 - Home Health Care Services Evv Claims08/30/2024Immediately
PC000217.1 Managed Care Plan Security Incident Process07/23/2024Immediately
PC000280.1 Pc000280.1 Payment For Intensive Residential Habilitation Services (Irhs)07/10/2024Immediately
PC000282.1 Pc000282.1 - A9274 Rate Policy Clarification07/08/2024Immediately
PC000282 Pc000282 - A9274 Rate Policy Clarification07/05/202407/05/2024 Pc000282.1
PC000281 Pc000281 Lien Statute Date Clarifications05/21/2024Immediately
PC000278 Pc000278 - Boys Town04/10/2024Immediately
PC000247.1 Mhc And Tpl Billing01/22/2024Immediately
PC000150.1 Scl_Host Home01/22/2024Immediately