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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

Planned Parenthood barred from Title X under final draft rule (8 hours ago)
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Providers push back against conflict of interest concerns for Joint Commission, other accreditors (6 hours ago)
Industry stakeholders told the CMS that they oppose banning accrediting organizations like the Joint...


Woman's Hospital CEO Teri Fontenot to retire this summer (9 hours ago)
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Senate panel to probe high insulin prices (6 hours ago)
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Optum loses bid to stop ex-executive from working at Amazon-Berkshire-JPMorgan joint venture (5 hours ago)
UnitedHealth Group-owned Optum lost its legal fight Friday to block a former executive from working ...


Governors stand by controversial Medicaid work rules (6 hours ago)
Republican governors defended their decisions to pursue Medicaid work requirements despite concerns ...


Burnout among physicians drops but depression on the rise, AMA survey finds (16 hours ago)
About 44% of doctors reported a burnout symptom in 2017, down from 2014 when 54% of doctors reported...


UPMC countersues AG, seeks to join antitrust case against Blues plans (Yesterday)
UPMC filed a countersuit against Pennsylvania's attorney general and is seeking to join antitrust li...


Whistle-blower accuses HCA of fraudulent billing practices (Yesterday)
In an unsealed False Claims Act case in California federal court, a former Regional Medical Center n...


Thousands could lose Medicaid coverage in Louisiana (Yesterday)
Louisiana's health department has notified tens of thousands of Medicaid recipients they could be bo...

 
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