Medical Assistance Crisis Intervention Team Information

Following is a list of the information presented by Eugene I. Gessow, Iowa Medicaid Director, at the Medical Assistance Crisis Intervention Team meeting in Ottumwa, IA. on Thursday, July 15, 2004. For those items marked "hard copy only", you can obtain copies of the documents by contacting Alisa Horn at 515-725-1123 or ahorn@dhs.state.ia.us.

BRIEFING

1. Briefing  [ 132 kb]

2. Briefing data [ 123 kb]

3. Iowa Medicaid Covered Services1 [ 20 kb]

4. Iowa Medicaid Covered Services2 [ 23 kb]

5. Copay Policy Overview [ 31 kb]

6. MEPD Prem Sched [ 23 kb]

MEDICAID HISTORY

1. Medicaid Policy Change History [ 74 kb]

2. Medicaid History Prov Incr [ 19 kb]

HOSP., PHYS., DENTAL

1. DRG and APG descriptions [  22 kb]

2. Hosp-Phys-Dental [ 221 kb]

3. DRG compare [ 19 kb]

4. RBRVS Explanation [ 23 kb]

5. Dental Coverage Policy [ 49 kb]

IA MEDICAID PHARM.

1. Basis of Payment for Drugs and Supplies [ 21 kb]

2. ACS PRESCRIPTION BENEFIT MANAGEMENT (1 page) – hard copy only

3. SMAC development [ 35 kb]

4. Rx Data [ 31 kb]

5. CSR: S0380 – Drug Prior Authorization Analysis (1 page) – hard copy only

6. Drug Expenditure Trends [ 23 kb]

7. State Rx Prog Comparisons [ 44 kb]

NURSING FACILITIES

1. Nursing Fac data [ 41 kb]

2. NF Eligibility Criteria – hard copy only

3. Iowa Rate Calculation Explained [  23 kb]

4. Iowa_AARP Presentation_2-18-03 [ 305 kb]

5. CMI Information [ 25 kb]

6. Iowa AARP Presentation 2-18-03 Handout 1 [ 53 kb]

7. Iowa_AARP Presentation_2-18-03_Handout 2 [ 39 kb]

8. Cumulative Rate Listing – 7-13-04 – FS [ 44 kb]

9. Cumulative Rate Listing – 7-13-04 – Hosp [ 6 kb]

10. NF Historical Info [ 62 kb]

11. Cover memo alternative assessment models [ 30 kb]

ICF/MR

1. ICF-MR data [ 46 kb]

2. ICF MR Rates [ 29 kb]

HCBS WAIVER SERVICES

1. HCBS Waiver Info [ 280 kb]

2. Monthly Slot and Waiting List Data [ 114 kb]

MANAGED CARE

1. Managed Care Overview [ 36 kb]

2. MCO Rates [ 118 kb]

3. Behavioral Health Contract [ 31 kb]

4. IA Plan Clients Receiving Services (4 pages) – hard copy only

5. HMO Contract Covered Services [ 19 kb]

6. CAPITATION PAYMENTS – MALE – SFY 1999 – SFY 2003 (1 page) – hard copy only

7. CAPITATION PAYMENTS – FEMALE – SFY 1999 – SFY 2003 (1 page) – hard copy only

8. IP and OT Encounter Data – hard copy only

9. Services Covered By The MediPASS Option [ 20 kb]

IME – CHALLENGE

1. DHS Medicaid IME Presentation [ ]

2. IME Description [ 83 kb]

3. IME Budget [ 31 kb]

 

DHS – MMIS

1. OPERATIONAL PERFORMANCE SUMMARY (13 pages) – hard copy only

2. Claim Form UB-92 (1 page) – hard copy only

3. OPERATIONAL PERFORMANCE SUMMARY (2 pages) – hard copy only

4. Claim Form HCFA-1500 (1 page) – hard copy only

5. OPERATIONAL PERFORMANCE SUMMARY (2 pages) – hard copy only

6. Claim Form – Dental Claim Form (1 page) – hard copy only

7. OPERATIONAL PERFORMANCE SUMMARY (3 pages) – hard copy only

8. Claim Form – Long Term Care Claim (1 page) – hard copy only

9. OPERATIONAL PERFORMANCE SUMMARY (2 pages) – hard copy only

10. Claim Form – Claim for Targeted Medical Care (1 page) – hard copy only

11. Admin History [ 110kb]

KAISER COMMISSION

1. Website: www.kff.org/medicaid/4087-03.cfm

2. Website: www.kff.org/medicaid/7001.cfm

3. "Adjusted Federal Expenditures Per Dollar of Taxes by State" (1 page) – hard copy only

IGT – Responses

1. 5 Questions – Combined – hard copy only

2. Attachment D-01 (7 pages) – hard copy only

3. Attachment A-05 (1 page) – hard copy only

MEDICAID COMPARE?

1. Website: (Medicaid & SCHIP)

2. Website: Medicaid Benefits

3. "BASELINE MEDICAID FEE DATA" (6 pages) – hard copy only

4. "03 Profile of the Kansas City Regional Office" (15 pages) – hard copy only

GOOD MEDICINE

1. Website: Medicaid: Good Medicine For State Economies 2004 Update, A Report by Families USA

DHS BUDGET SFY ‘05

1. Website: www.dhs.state.ia.us/budget2005/councilsbudget2005.asp
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