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Welcome to the Iowa Medicaid Portal Application!


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User Registration Guide

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 - Subscribe and/or Unsubscribe!

  • 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

  • Provider Reenrollment and OCD User Guide

  • Critical Incident Report Form

  • HCBS Residential Member Assessment Form

  • HCBS Residential Member Setting User Manual

 

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

Banner Health eases heart transplant process for obese patients (Yesterday)

The system's cardiology and bariatric surgery teams are working together to help some heart failu...


Week Ahead: Time is winding down to file comments on interoperability rules (Yesterday)

Industry stakeholders have until June 3 to file comments on two proposals from HHS aimed at givin...


Q&A: 'You ask yourself, "Why hasn’t healthcare done some of these things?" ' (Yesterday)

It’s been less than a year since ProMedica closed a $1.4 billion deal to buy post-acute provider ...


Data Points: Barbecue season brings danger of grill fires (Yesterday)

As barbecue season heats up, some estimates say grill fires in the U.S. resulted in an average of...


State lawmakers work to prevent liens against privately insured patients (Yesterday)

State lawmakers in recent years have placed new restrictions on hospitals' abilities to file lien...


Health systems work at new speeds to innovate with industry outsiders (Yesterday)

Leaders at Modern Healthcare’s Transformation Summit in Austin, Texas, offered insight into how t...


Commentary: Academic hospitals have an obligation to heal communities (Yesterday)

Because of our community standing and our increasing knowledge of the social determinants of heal...


Brush your teeth with charcoal? Maybe not (Yesterday)

British researchers call charcoal toothpaste a "fashionable, marketing 'gimmick' based on folklor...


'You have to fundamentally change how you view things' in healthcare (Yesterday)

Jefferson Health CEO Dr. Steven Klasko argued that healthcare is migrating to a B-to-C business m...


Hospitals and patients' attorneys spar over lien practices (Yesterday)

Many hospitals do not bill patients' health insurance if they were injured in auto accidents, ins...

 
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