Skip Navigation Links
Welcome to the Iowa Medicaid Portal Application!


Click here for the
User Registration Guide

Featured Functionality

  • FINAL NOTICE - Provider Enrollment Renewal
    Provider enrollment renewal is an Affordable Care Act (ACA) requirement for all providers in order to stay active with the IME and a Managed Care Organization (MCO). This practice helps ensure program integrity. If you have not completed enrollment renewal, the IME and MCOs will terminate you as a Medicaid provider. If your enrollment is terminated with the IME and MCOs you will be required to submit new enrollment forms. Please refer to the most recent Informational Letter 1787-MC-FFS-D. If you have any questions regarding enrollment renewal, please contact the IME Provider Services Unit at 1-800-338-7909 (Option 5) or by email at IMEProviderEnrollment@dhs.state.ia.us.

  • 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

Health insurance expansion via Obamacare linked to fewer cardiac arrests (6/29/2017)
A sudden catastrophic loss of heart function, or cardiac arrest, occurred significantly less among a...


Medicaid restrictions linked to increased late-stage breast cancer diagnoses (6/27/2017)
Women in Tennessee who were diagnosed with breast cancer were more likely to be diagnosed with late ...


Vitamin D deficiency: Symptoms, causes, and prevention (6/24/2017)
Poor nutrition and not enough natural sunlight can cause a vitamin D deficiency. In this article, le...


Emergency room patients routinely overcharged, study finds (6/1/2017)
An analysis of billing records for more than 12,000 emergency medicine doctors across the United Sta...


Few Medicare patients take advantage of free annual wellness visits (4/21/2017)
In 2011, through the Affordable Care Act, Medicare introduced the Annual Wellness Visit (AWV), the f...


Time for physicians to prepare for impending appropriate use mandate (3/1/2017)
Within a year, the Centers for Medicare & Medicaid Services (CMS) will implement a provision in the ...


Many cancer survivors change their prescription drug use for financial reasons (2/20/2017)
A new analysis indicates that many cancer survivors change their prescription drug use (including sk...


Insurance status impacts complication rates after shoulder replacement surgery (2/15/2017)
Patients undergoing shoulder replacement surgery who have Medicaid, Medicare or no health insurance,...


Examining different accountable care organization payment models (2/14/2017)
Two new studies published online by JAMA Internal Medicine take a look at different accountable care...


Many older adults with epilepsy may not be receiving optimal care (2/10/2017)
Many older adults with newly diagnosed epilepsy in the United States are being prescribed older anti...


New survey finds many Americans want changes to ACA but few support immediate repeal (1/31/2017)
According to a new national survey on Americans' opinions on the Affordable Care Act (ACA) conducted...


Most primary care doctors 'strongly endorse' key elements of the Affordable Care Act (1/27/2017)
Proponents of repealing the Affordable Care Act, including President Donald Trump's nominee for Secr...


Large pre-ACA Medicaid expansion did not level health disparities in cancer surgery (1/26/2017)
An analysis of the New York State's Medicaid expansion, which predated the 2010 Affordable Care Act,...


Sepsis trumps CMS's four medical conditions tracked for readmission rates (1/24/2017)
Sepsis accounts for considerably more hospital readmissions and associated costs than any of the fou...


The ACA increased coverage and access for the chronically ill, but many still face barriers to care (1/24/2017)
The Patient Protection and Affordable Care Act (ACA) increased insurance coverage and access to care...


Who is at risk to lose insurance if Affordable Care Act changed or repealed? (1/23/2017)
If Congress changes or repeals the Affordable Care Act (ACA), which adults are at risk of losing hea...


Patients face 'surprise' medical bills from out-of-network specialists (1/19/2017)
The average anesthesiologist, emergency physician, pathologist and radiologist charge more than four...


Medicaid expansion linked to better care quality at health centers (1/11/2017)
As the incoming administration of President-elect Donald Trump and members of the 115th U.S....


Primary care physician involvement at end of life associated with less costly, less intensive care (1/10/2017)
Regions of the country with greater primary care physician involvement in the last six months of lif...


Older lung cancer patients face significant treatment burden (1/10/2017)
Depending on the type of treatment older lung cancer patients receive, they can spend an average of ...


Medicare bundled-payments model cut joint replacement costs by more than 20 percent (1/5/2017)
Savings seen largely in lower costs of artificial joints and post-surgical rehabilitation....


Hospital readmission rates decrease after federal law levies financial penalties for readmissions (1/4/2017)
Financial penalties levied under the Affordable Care Act's (ACA) Hospital Readmissions Reduction Pro...


Patients treated by female doctors less likely to die, study shows (12/24/2016)
A new study investigates whether patient outcomes differ with the gender of the physician. Researche...


Few older Americans have dental insurance (12/6/2016)
Only 12 percent of older Americans have some form of dental insurance and fewer than half visited a ...


Breast cancer: Similarly effective treatments vary in cost (10/10/2016)
The cost of treatment for breast cancer varies widely, and even women with full health insurance are...

 
Processing Processing...
Your IMPA Session has expired.

Please click Ok to continue.