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Welcome to the Iowa Medicaid Portal Application!


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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

Government funds nearly two-thirds of US health care: AJPH study (1/22/2016)
Contrary to popular perceptions, taxpayers fund 64 percent of US health care, more public dollars pe...


Majority of Americans support strengthening Medicare law to require coverage of obesity programs (1/21/2016)
More than two years after the American Medical Association declared obesity a disease, a strong majo...


Physicians receive less aggressive end-of-life care, less likely to die in a hospital (1/19/2016)
Two studies in JAMA compare the intensity of end-of-life treatment and the likelihood of dying in a ...


Report identifies positive news on kidney disease in the US, yet challenges remain (1/18/2016)
United States Renal Data System 2015 report highlights current trends in kidney disease....


BU study finds geography influences government grading of medicare advantage plans (1/13/2016)
Geographic location is an important predictor of the quality grades assigned to Medicare Advantage i...


Palliative care offers greater cost savings for cancer patients with multiple chronic conditions (1/6/2016)
Patients with incurable cancer and numerous other serious health conditions who consulted with a pal...


Fast & sharp: Medicaid expansion gives hospitals immediate relief from uninsured care (1/6/2016)
50 percent drop in uninsured hospital stays seen in expansion states, compared with no change in non...


Traditional Medicaid expansion and 'private option' both improve access to health care (1/6/2016)
Two different approaches used by states to expand Medicaid coverage for low-income adults -- traditi...


Medicaid tobacco cessation: Big gaps remain in efforts to get smokers to quit (1/6/2016)
Only 10 percent of Medicaid smokers get anti-smoking medication, new study says....


New national perioperative guideline for geriatric surgical quality care released (1/5/2016)
Joint best practice recommendations from American College of Surgeons and American Geriatrics Societ...


Even before ACA, cancer survivors in non-expansion states had less health-care access (12/23/2015)
How will Medicaid expansion under the Affordable Care Act (ACA) change cancer survivors' access to h...


Paid sick leave may reduce financial burden for cancer patients (12/23/2015)
Cancer patients who receive paid sick leave from employers may be more likely to retain their jobs a...


Greater transparency needed with private health insurance products, Australia (12/21/2015)
The AMA has lodged its submission to the Government's Private Health Insurance (PHI) Review....


Puerto Rico's community health centers face bleak future (12/15/2015)
An extraordinary need for publicly subsidized health services amidst an unprecedented economic crisi...


Who's writing prescriptions for opioid pain relievers? (12/14/2015)
While prescriptions for opioid pain relievers were concentrated in specialties for pain, anesthesia,...


Primary health networks must not be used to ration health care for patients, Australia (12/11/2015)
The AMA has released its Position Statement on Primary Health Networks (PHNs) 2015, which replaces t...


Study points to barriers to biologic treatments for some patients with psoriasis (12/8/2015)
In the first known study to examine the prevalence and treatment of psoriasis in older Americans, ex...


Former prisoners benefit from Medicaid (12/8/2015)
Expansion of Medicaid means that men on low incomes in participating states are more likely to get m...


Nursing community on path to transformation since IOM future of nursing report five years ago (12/7/2015)
Since the 2010 Institute of Medicine report 'The Future of Nursing: Leading Change, Advancing Health...


UMD study shows that Affordable Care Act has reduced racial/ethnic health disparities (12/3/2015)
African Americans and Latinos have benefitted most from access to health insurance....


Medicare safety net changes should be scrapped, not paused - Australia (12/1/2015)
In welcoming the Government's decision to withdraw its proposed changes to the Medicare Safety Net, ...


First outcomes report from novel heart surgery registry shows excellent results for TAVR (12/1/2015)
Four years after its approval in the United States, transcatheter aortic valve replacement (TAVR) co...


Medicaid expansion improves breast cancer screening for low-income women (11/30/2015)
Low-income women in Medicaid expansion states in the U.S. are more likely to have a breast screening...


Complex hospital infection data confuses consumers (11/24/2015)
Patients have difficulty deciphering complex numeric data on healthcare-associated infections used b...


Medical doctors express concern about healthcare quality measures in the United States (11/17/2015)
As a means to improve outcomes and control costs, payers in the United States are increasingly using...

 
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