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Featured Functionality

 

  • IMPORTANT INFORMATION APRIL 1, 2016
    Please note that if you are uploading medical information to IME related to the Level of Care review process, it is to be only for fee-for-service members.
    If the member is a MCO member, please send the medical information to the appropriate MCO.
  • 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.
  • 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

United States Health Care Reform: Progress to date and next steps (7/13/2016)
The Affordable Care Act has made significant progress toward solving long-standing challenges facing...


Not blowing smoke: Research finds medical marijuana lowers prescription drug use (7/8/2016)
Medical marijuana is having a positive impact on the bottom line of Medicare's prescription drug ben...


Public reporting measures fail to describe the true safety of hospitals (5/11/2016)
Study finds only 1 measure out of 21 to be validCommon measures used by government agencies and publ...


Study: Medicare Part D boosts medication adherence, reduces blood pressure risk (5/10/2016)
New research from North Carolina State University shows that implementation of Medicare Part D has i...


Doctors call for single-payer health reform, cite need to move beyond the Affordable Care Act (5/10/2016)
The American Journal of Public Health publishes physicians' call for sweeping single-payer reform wi...


Changes needed to increase access to colorectal cancer screening (5/9/2016)
Colorectal cancer is the second highest cause of cancer death in the United States, expected to clai...


Veterans more likely to delay seeking health care - possible link to long wait times for VA care (5/3/2016)
Military veterans are more likely to report delays in seeking necessary healthcare, compared to the ...


GPhA urges Congress to repeal Medicaid rebate penalty (5/2/2016)
The Generic Pharmaceutical Association (GPhA) sent a letter to the Chairmen and Ranking Members of t...


Medicare patients have low adherence to biologic drug therapy for psoriasis (4/26/2016)
About half of Medicare patients who start taking biologic therapies for moderate to severe plaque p...


Medicaid expansions improve health care coverage and outcomes for the poor (4/19/2016)
States that have enacted the Patient Protection and Affordable Care Act (ACA) Medicaid expansions ar...


Americans live longer but with disabilities or health issues, study shows (4/18/2016)
The USC-led study findings challenge assumptions that increased longevity is a sign of good health. ...


Testosterone therapy decreases hospital readmissions in older men with low testosterone (4/14/2016)
A new large-scale population-based study from The University of Texas Medical Branch at Galveston s...


AMP genomic sequencing procedure microcosting & health economic cost-impact analyses (4/14/2016)
The Association for Molecular Pathology (AMP), the premier global, non-profit organization serving ...


Fueling future progress for 46 million older adults at 2016 AGS Annual Scientific Meeting (4/13/2016)
Innovations in geriatrics care, research, and policy on display at prestigious AGS16 Plenary Paper S...


Strategies and milestones for Alzheimer's patient and caregiver support outlined (4/13/2016)
The National Alzheimer's Project Act (NAPA) was signed into law in 2011. Over the past five years mi...


Kidney stone patients hospitalized on the weekend may get delayed treatment (4/12/2016)
Patients with severe cases of kidney stones are 26 percent less likely to receive timely treatment w...


Life expectancy depends on wealth and where you live (4/11/2016)
How much you earn and where you live affects how long you will live, and the gaps are growing betwee...


New report identifies 6 practices to improve health care for disadvantaged populations (4/8/2016)
A new report from the National Academies of Sciences, Engineering, and Medicine identifies six promi...


Study: Half of parents of uninsured minority children unaware they are Medicaid eligible (3/22/2016)
Study also reveals substantial heath and healthcare issues for uninsured children and financial burd...


Out-of-hospital births are on the rise (3/22/2016)
United States' out-of-hospital births increased to nearly 60,000 in 2014, continuing a decade-long i...


Predicting caries risk at 30-months of age in medical settings (3/21/2016)
At the 45th Annual Meeting & Exhibition of the American Association for Dental Research, researcher ...


Income, gender and payer status strongly impact readmissions, study finds (3/18/2016)
A new study conducted by Premier, Inc. and published in the Journal for Healthcare Quality suggests ...


Parent mentors insure more uninsured children, improve access, eliminate disparities (3/17/2016)
Save thousands of dollars per child - could save our nation billions of dollars....


High percentage of patients prescribed opioids following tooth extraction (3/16/2016)
In a study published online by JAMA, Brian T. Bateman, M.D., M.Sc., of Brigham and Women's Hospital,...


Examination of effect of CMS policy to suppress substance abuse claims data (3/15/2016)
In a study appearing in JAMA, Kathryn Rough, Sc.M., of Brigham and Women's Hospital, Boston, and col...

 
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