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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.
    Subscribe to the selected topics
 

 

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

ACA open enrollment periods associated with improved coverage, access to care and health (10 hours ago)
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Report examines Medicare and Medicaid programs at 50 years and challenges ahead (10 hours ago)
Although Medicare and Medicaid are playing a role in health care payment and delivery reform innovat...


Hemophilia therapies account for largest portion of pharmacy expenditures among publicly insured children with serious chronic illness (10 hours ago)
In an analysis of expenditures for outpatient pharmacy products used by publicly insured children wi...


'HIV-style campaign' to cut cancer drug prices (3 days ago)
A large group of America's leading cancer specialists have joined forces in support of action agains...


Proposed 2016 Medicare physician cuts threaten access to community-based radiation therapy (4 days ago)
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Don't make me wait: Doctor appointment availability went up after Michigan Medicaid expansion (5 days ago)
Secret shopper approach shows access to primary care appointments bucked predictions -- for both tho...


Poor diabetes control found in older Americans (6 days ago)
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Life-saving breast cancer drugs going untaken in Appalachia (7 days ago)
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Steve Gleason Act passes in Congress (7/17/2015)
Steve Gleason, former NFL standout athlete for the New Orleans Saints, has redefined what it means t...


Improved Medicare enrollment information rolled out at White House Conference on Aging (7/14/2015)
On July 13th, in concert with the White House Conference on Aging, the Obama Administration announce...


Nixon and Obama health care similarities illustrate party differences (7/13/2015)
Obamacare has been criticized by Republicans as 'a radical liberal plan,' yet a new article suggests...


Documentation of hospital patients' malnutrition helps maximize care and reimbursement (7/13/2015)
Nutrition support professionals who are well-versed in proper documentation of malnutrition diagnose...


Medicaid's evolving delivery systems (7/8/2015)
In recognition of the Medicaid program's 50th anniversary, the July issue of Health Affairs contains...


Cutting health care costs isn't easy (7/8/2015)
UI study looks at how to reduce hospital stays, emergency department visits for those who receive bo...


Study: Nursing home care for minorities improves (7/8/2015)
A new study of nursing homes has found that, while disparities continue to exist, the quality of car...


Medicaid: No longer the welfare medicine afterthought (7/8/2015)
Insurer for more than 70 million AmericansJuly 30, 2015 marks the 50th Anniversary of Medicaid. Sign...


National study finds life-threatening barriers in access to breakthrough drugs (6/30/2015)
Most states violate federal Medicaid law because they deny coverage for sofosbuvir, a new and highly...


New York's marriage equality act associated with increase in health insurance coverage for same-sex couples (6/30/2015)
Implementation of New York's Marriage Equality Act in 2011 is associated with substantial increases ...


Unauthorized immigrants prolong the life of Medicare Trust Fund: JGIM study (6/24/2015)
Harvard and CUNY researchers find unauthorized immigrants generated surplus contributions of $35....


Independence at home program national demonstration saves more than $25 million (6/23/2015)
Penn Medicine's house calls program improved care and cost savingsHouse calls, a long-running option...


Internists give Senate recommendations to improve care for patients with chronic diseases (6/22/2015)
ACP also applauds leadership in addressing chronic diseases to advance a solution with input from ph...


Patients with complications after major surgery more likely to survive if readmitted to the same hospital (6/18/2015)
Patients rehospitalized with complications after major surgery are 26% more likely to survive if the...


Prescription drug benefit doesn't save money for Medicare (6/17/2015)
Researchers con­clude that Medicare Part D did not save the (Medicare) pro­gram any money overallFor...


Study finds high Medicare Advantage copays for hospital, nursing care (6/9/2015)
Millions of seniors with Medicare Advantage plans, including more than a million with low incomes, w...

 
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