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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

Playing on fear and fun, hospitals follow pharma in direct-to-consumer advertising (20 hours ago)
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New York pilot program expands Medicaid coverage to doulas (21 hours ago)
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Mercy shooting highlights importance of drills, preparing staff (19 hours ago)
The shooting Monday at Chicago's Mercy Hospital and Medical Center again highlighted healthcare sett...


FDA to review its human testing protocols (19 hours ago)
The FDA hired a research firm to find out if its current process for approving or denying human test...


Atrium Health ERISA lawsuit exposes gray area for pensions (19 hours ago)
Attorneys say whether a not-for-profit health system qualifies as a governmental entity that's exemp...


Community Health Systems selling four S.C. hospitals (Yesterday)
Community Health Systems has signed a definitive agreement to sell four South Carolina hospitals....


Colorado plans changes in mental health crisis-response system (21 hours ago)
State officials say an overhaul is needed to improve mobile crisis response, incorporate local menta...


CMS unveils new nursing home safety effort (20 hours ago)
The CMS is seeking to improve quality of care at nursing homes via a new safety training effort....


Walgreens in talks with Humana: report (19 hours ago)
The Deerfield, Ill.-based pharmacy and Louisville, Ky.-based insurance giant are discussing a variet...

 
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