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Featured Functionality

 

  • ICD-10 is coming. Are you ready?  Registration for the IME ICD-10 Volunteer Testing is now open. To register for testing, please contact the IME Provider Services Unit at 1-800-338-7909, or locally in Des Moines at 515-256-4609 or by email at ICD-10project@dhs.state.ia.us
  • The Centers for Medicare and Medicaid (CMS) published the Outpatient Prospective Payment System (OPPS) Final Rule Nov. 27, 2013, established a new alphanumeric HCPCS code, G0463 (Hospital outpatient clinic visit for assessment and management of a patient) for hospital use only.  The new HCPCS code will be representative of any clinic visit under the OPPS replacing CPT codes 99201 through 99205 and 99211 through 99215.  Effective for claims starting January 1, 2014 Iowa Medicaid Providers will be required to use the new G0463 in place of the previously used E/M codes.  The final rule can be found here.
  • Effective February 15, 2014, all complaints and critical incidents for the Habilitation program will now be submitted to Magellan. Critical incident forms can be located on Magellan’s website at http://www.magellanofiowa.com/for-providers-ia/forms.aspx. Completed forms are to be submitted by FAX at 888-656-2723 or by email at DSMcriticalincidents@magellanhealth.comto the attention of the Magellan Quality Improvement Department. Forms should be submitted within 24 hours of the critical incident.  Any Habilitation questions can be directed to DSMcriticalincidents@magellanhealth.com.
  • Provider Informational Letters -Go here and sign up!
  • Provider incident reporting - As a provider, you can have the ability to report, track and monitor incidents in "real time".
  • Remittance Advice - View weekly remittance advice online at your convenience.
  • Presumptive Eligibility - Medicaid Presumptive Eligibility Portal can be accessed at this link: http://dhsmpep.iowa.gov
  • List Serv Subscriptions - Subscribe to different topics on the IMPA List Serv.
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Helpful Hints
Looking for a medicaid participating provider? Find one here.

Be sure to find all of the latest Provider Information Letters here.

Medicaid in the news

Large urban hospitals disadvantaged by medicare/medicaid patient satisfaction rating system (4 days ago)
The largest urban health systems, which serve as safety nets for large patient populations with lowe...


Medicaid patients need support to use primary care rather than emergency rooms (5/15/2015)
More than half of all Medicaid enrollees prefer the "one-stop shop" of a hospital emergency departme...


Inconsistent Medicaid expansion would widen disparities in screenings for women's cancers (5/15/2015)
Massey researchers find that failure to expand ACA Medicaid coverage would widen disparities in scre...


Healthcare spending for privately insured children with diabetes rises sharply, 2011-2013 (5/11/2015)
Spending for all privately insured people with diabetes rose 4 percent in 2013; was nearly $10,700 h...


Expanded hospice improves care but raises Medicare costs (5/8/2015)
A large new study in the New England Journal of Medicine examines the impact of growth in Medicare's...


16.9 million Americans gained health coverage under Affordable Care Act, study finds (5/8/2015)
Insurance coverage has increased across all types of insurance since the major provisions of the fed...


Connecting uninsured patients to primary care could reduce emergency department use (5/7/2015)
An intervention to connect low-income uninsured and Medicaid patients to a reliable source of primar...


Pioneer accountable care organization model shows smaller increases in Medicare spending (5/6/2015)
In the first 2 years of the Pioneer Accountable Care Organization (ACO) Model, beneficiaries aligned...


New report on the reality of person-centered care (5/5/2015)
Justice in Aging (formerly the National Senior Citizens Law Center) released a new report that analy...


Study finds no health drawbacks to veterans' dual use of VA, Medicare Advantage (4/30/2015)
Duplicate federal spending still a concern, says study of more than 6,600 veteransIn a study that lo...


Patients grapple with high cost of arthritis medications (4/21/2015)
The first national investigation of Medicare coverage of biologic disease modifying drugs (DMARDs) f...


Inside health-reform savings (4/17/2015)
In the first year of Medicare's Pioneer Accountable Care Organization program, the 32 participating ...


ASTRO praises bipartisan Congress and President for passage of legislation to permanently fix SGR (4/16/2015)
The American Society for Radiation Oncology (ASTRO) applauds the House of Representatives, the Senat...


Several commercial health plans now covering Cologuard colon cancer screening test (4/15/2015)
Exact Sciences Corp. has announced expanded patient access to Cologuard as a result of several insur...


ACA provision for young adults leaves racial disparities intact among trauma patients (4/14/2015)
The dependent care provision of the Affordable Care Act allows young adults to stay on their parents...


Delay of surgery for melanoma common among Medicare patients (4/10/2015)
In a study that included more than 32,000 cases of melanoma among Medicare patients, approximately 1...


Study: Neurologists' focus on face-to-face time with patients undervalued by Medicare (4/1/2015)
Most neurologists provide face-to-face care of neurology patients, many of whom have complex disease...


Internal Medicine Physicians say doctors and patients must hold Senate accountable for not passing SGR repeal (3/30/2015)
The American College of Physicians (ACP) has said that it is greatly disappointed that the Senate re...


Medicaid is a very good investment even if it does not lower cholesterol or blood pressure (3/29/2015)
Researchers at Columbia University's Mailman School of Public Health analyzed the results of the Ore...


Mental health disorders complicate standards used by ACA to penalize hospitals for readmission (3/28/2015)
Co-existing psychiatric illness should be considered in assessing hospital readmissions for three co...


APTA, AOTA, and ASHA agree: Medicare SGR bill leaves beneficiary access issue behind (3/26/2015)
With more than one million Medicare beneficiaries at risk for being denied necessary outpatient ther...


Diabetes diagnoses surge in states that expanded Medicaid under the affordable care act (3/25/2015)
People in states that expanded Medicaid under the Affordable Care Act (ACA) are far more likely to b...


Medicare freeze could lead to $8 GP copayment, Australia (3/25/2015)
The proposal to continue the indexation freeze for all Medicare schedule fees until July 2018 could ...


Expanding Medicaid under ACA helped to identify 23 percent more people with previously undiagnosed diabetes (3/25/2015)
Newly diagnosed now covered for early treatment and care; American Diabetes Association supports Med...


Seniors oppose doc-fix "compromise" that sticks them with higher Medicare costs (3/24/2015)
In a letter sent to the House of Representatives, National Committee to Preserve Social Security and...

 
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