Skip Navigation Links
Welcome to the Iowa Medicaid Portal Application!


Click here for the
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

CMS made error when calculating MIPS payments (7 minutes ago)
The CMS is telling providers it made a mistake when processing payments under the Merit-based Incent...


Commentary: In a disaster, value-based care proves even more valuable (2 hours ago)
Organizations that give incentives for value-based care principles have a distinct advantage when it...


Medicaid spending hits $592.2 billion in 2017, 73 million in enrollment (16 hours ago)
A new federal report shows Medicaid is quickly on its way to become a $1 trillion program. However, ...


Next Gen ACOs form coalition to push for model changes (23 hours ago)
Twenty-nine Next Generation ACOs have formed a coalition to advocate for changes to that CMS model, ...


Pharma push for Medicare donut hole change tangles opioid negotiations (21 hours ago)
A push by Big Pharma to claw back Medicare Part D donut hole money as part of the opioids package ha...


Are health systems on the hook to disclose faculty conflicts of interest? (Yesterday)
Health systems are debating how to ensure research transparency in the wake of Dr. Jose Baselga's re...


Senate opioid bill misses the mark, experts say (Yesterday)
Addiction medicine experts have raised concerns that the Senate opioid bill passed this week is anot...


Not-for-profit hospital operating margins continue to contract (22 hours ago)
For the second consecutive year median operating margins fell, hitting 1.9% in 2017, down from 2.8% ...


White House puts faith in value-based pay tweaks to save Medicare (21 hours ago)
As Medicare funds dry out, the OMB believes simplifying value-based pay models and reducing spending...


Medicare hospice payment model fails its first year (23 hours ago)
A Medicare model aimed at patients who wanted hospice as well as curative care did not do well in it...

 
Processing Processing...
Your IMPA Session has expired.

Please click Ok to continue.