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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

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Independence at home program national demonstration saves more than $25 million (6/23/2015)
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Internists give Senate recommendations to improve care for patients with chronic diseases (6/22/2015)
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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)
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Study finds high Medicare Advantage copays for hospital, nursing care (6/9/2015)
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For-profit health: some US hospitals mark up costs by 1,000% (6/9/2015)
New study finds the 50 hospitals in the US with the highest markup of prices charge patients over 10...


What are Medicare costs for patients with oral cavity, pharyngeal cancers? (6/4/2015)
Medicare costs for older patients with oral cavity and pharyngeal cancers increased based on demogra...


Researchers identify institutional patterns in Medicare reimbursement favoring procedures (6/1/2015)
In a recent study, Fox Chase Cancer Center researchers uncovered that fee-for-service Medicare Part ...


Iowa researchers find ending Medicaid dental benefit costly (5/28/2015)
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Large urban hospitals disadvantaged by medicare/medicaid patient satisfaction rating system (5/20/2015)
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...

 
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