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

Avia Network Summit reporter's notebook: digital health and lessons learned from pizza (22 minutes ago)
Avia and former CMS administrator Andy Slavitt announced a new Medicaid transformation initiative at...


HHS unveils Title X regulations to ban abortion referrals, defund Planned Parenthood (37 minutes ago)
HHS released proposed regulations that would block Planned Parenthood and other abortion providers f...


Former Anthem investigator, physician charged in $20 million health fraud scheme (1 hour ago)
The U.S. Justice Department charged a former investigator for health insurer Anthem Blue Cross, a ph...


Beyond talking points: Is Congress moving past the ACA? (3 hours ago)
The Affordable Care Act remains an election talking point, but lawmakers are shifting their policy f...


CMS puts Tenet hospital on notice after patient dies (4 hours ago)
A Tenet Healthcare Corp. hospital is under CMS scrutiny after a patient died and others are at risk ...


NYC Health & Hospitals seeks $11.5M from UnitedHealthcare in denied medical claims (3 hours ago)
NYC Health & Hospitals and UnitedHealthcare are heading to arbitration over $11.5 million in den...


USC sued over clinic gynecologist accused of misconduct (11 hours ago)
Four former University of Southern California students sued the school and a former campus gynecolog...


U.S. clings to health coverage gains despite political drama (11 hours ago)
The U.S. clung to its health insurance gains last year, an unexpected outcome after President Donald...


IHI forms nationwide patient safety committee (13 hours ago)
The Institute for Healthcare Improvement, CMS, FDA, Joint Commission and others joined forces to cre...


HHS chief technology officer to leave Washington in June (8 hours ago)
After a year as HHS' chief technology officer, Bruce Greenstein will leave the agency to join home h...

 
Processing Processing...
Your IMPA Session has expired.

Please click Ok to continue.