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Featured Functionality

  • 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 Enrollment Renewal Guide
  • 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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Antipsychotic drug use among ADHD-diagnosed foster care youth is increasing (4/9/2014)
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Previous Medicaid expansions by states did not erode perceived access to care (4/8/2014)
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Hospital readmission rates not a reliable measure of hospital quality in cardiac surgical care (4/1/2014)
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Uneven progress in expanding state Medicaid coverage for smoking cessation (3/28/2014)
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Patient enrollment, use, and satisfaction with patient portals (3/26/2014)
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Medicaid expansion may help prevent kidney failure, improve access to kidney-related care (3/24/2014)
States with broader Medicaid coverage have lower incidences of kidney failure and smaller insurance-...


Implementation of Massachusetts health care law led to a small increase in emergency room use (3/24/2014)
Emergency department usage in Massachusetts rose slightly both during and immediately after implemen...


Medicaid/marketplace "churning": State-by-state comparisons (3/17/2014)
The Affordable Care Act (ACA) requires almost all Americans to have health insurance....


Health providers may experience information and financial loss during transition to ICD-10 (3/14/2014)
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Required electronic lab reporting may lead to doubling of volume of notifiable disease reporting (3/11/2014)
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Adverse events in nursing facilities outpace hospitals (3/10/2014)
The Health and Human Services Office of Inspector General (OIG) recently reported that 32% of Medica...


Experts call for US prison health improvements (3/5/2014)
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Jail population benefit from Affordable Care Act: risk of recidivism cut (3/5/2014)
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Vulnerable Americans living with HIV/AIDS to benefit from ACA (3/5/2014)
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In first 4 years, Medicare Part D prescription drug coverage saved $1.5 billion a year with significant hospital admission reductions (3/5/2014)
A new study by the Johns Hopkins Bloomberg School of Public Health and the University of Illinois at...


The expanding role of social workers in patient care (3/4/2014)
Social workers will see their roles in patient care expand as hospitals and other providers draw on ...


Late diagnosis of cancer a greater risk for uninsured adolescents and young adults (2/26/2014)
Study shows way forward for age group that has benefited least from cancer progressA new American Ca...


Need to expand health insurance coverage among children living in immigrant families; nearly half are presently uninsured (2/26/2014)
Call for new approaches to increase enrollment for eligible children of immigrant parentsChildren fr...


Study finds differences in benefits, service at hospices based on tax status (2/25/2014)
The tax status of a hospice (for-profit vs. nonprofit) affects community benefits, the population se...


Pharmacists can help address health system concerns, Australia (2/21/2014)
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Low-income women face roadblocks created by Medicaid's 'tube-tying' polices (2/21/2014)
Tubal ligation - commonly referred to as having one's "tubes tied" - is widely used to prevent unint...

 
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