Iowa Department of Human Services

Welcome to the Iowa Medicaid Enterprise Provider Website!

The Iowa Medicaid Enterprise (IME) relies on dedicated providers like you to serve the health care needs of members of Iowa's Medicaid program. By participating in Iowa Medicaid you are joining a network of providers throughout the State whose efforts and commitment have resulted in a significant increase in the number of Iowa families who have access to appropriate health care. Without the participation of providers like you, this program would not be possible!

Important Provider Announcements

1/6/2012 - Due to the HIPAA 5010 transition affecting electronic transactions, EDI Support Services is experiencing extremely high call volumes. If you are trying to reach EDISS regarding electronic transactions with IME and are having difficulty getting through, please take a moment to review their website for additional resources (http://www.edissweb.com/med/index.html). There are many helpful user guides, tutorials, and presentations that can be reviewed to answer your questions.

ICD 10 Implementation Handbooks Now Available (November 2011)

Electronic Billing: Transitioning to HIPPA 5010 EDISS Reminder (August 2011)

PASRR Training Invitation and Registraion Information (August 2011)

8/1/11: Several New Informational Letters Announce Program Changes Effective 9/1/11!

Annual Training 2011 Provider Registration

5/11/11 FAQ Home Health Hospice - PhysicianF2F Requirement

12/10/2010: Date Span Guidance from the Department of Education

Health Information Technology and the EHR Incentive Program

Important note for Individual CDAC Providers

Peer-to-Peer Conversation

Crossover Tips – Avoiding returned claims

Notice: Excluded Individuals and Entities!

The link below is to a searchable, online database for all individuals and entities excluded from participation with Iowa Medicaid. This is a national list maintained by the US Department of Health and Human Services, Office of the Inspector General and is updated continually:

http://exclusions.oig.hhs.gov/

For more information see Informational Letter #1001:
Exclusion from Participation in Federal Health Care Programs

Important Critical Incident Report News and Resources

Attention: This FORM CANNOT be used to make a report of child abuse or dependent adult abuse. Report of suspected child abuse and dependent abuse shall be made by calling the Abuse hotline 1-800-362-2178.

Second Incident Reporting Notice for Habilitation Providers and HCBS Waiver Providers
Critical Incident Report form 470-4698 (Rev 5/10)

Critical Incident Report User Guide Form 470-4698

PORTAL to the Iowa Medicaid Provider Access: Critical Incident Report

IMPA Case Management Business Process

Click here to get information on how to enroll as a Medicaid Provider

Medicaid Policies

These manuals are the Department's official interpretation of the federal laws and regulations and the state laws and rules relating to the Medicaid program. Click on the books below to view the manuals.