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Medicaid news for members, providers and stakeholders.
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Iowa Medicaid Provider Outcomes Survey
Iowa Medicaid is continually looking for ways to improve program outcomes for all. Over the next few years, Iowa Medicaid will be focusing on continuing to improve its provider processes and systems.
Iowa Medicaid has identified eight areas to continually improve provider outcomes. More information about each outcome, as well as success criteria for each, can be found on the DHS website. Additional outcomes may be added later. The outcomes are:
- Improve the provider enrollment process with Iowa Medicaid.
- Improve the provider credentialing process with the managed care organizations (MCOs) and dental plans.
- Improve the provider re-enrollment process.
- Improve provider rates based on a market analysis.
- Improve the provider understanding of key information.
- Improve provider quality, integrity, and compliance.
- Improve provider claims processing.
- Improve provider network adequacy to meet Medicaid service needs.
One of the first steps in this effort is gathering feedback from providers on the proposed outcomes and the respective impact on the broader goal of improving the effectiveness of services provided to Medicaid members. Iowa Medicaid has developed a survey to gather this feedback.
The survey asks background questions, followed by questions about Iowa Medicaid’s proposed provider outcomes. The last several questions are intended to gather information about the current provider experience with Iowa Medicaid to establish a baseline for measuring outcome progress.
Iowa Medicaid encourages all providers to review the survey and submit feedback. Responses are anonymous. While there is no limit on how many times the survey may be completed within a provider organization, Iowa Medicaid asks that each provider completes the survey only once.
Survey responses are due by November 15, 2021.
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Federal Public Health Emergency Extended
On October 15, 2021, the U.S. Department of Health and Human Services (HHS) extended the federal public health emergency (PHE) for up to another 90 days.
The Centers for Medicare and Medicaid Services (CMS) will provide Iowa Medicaid with a 60-day notice prior to the official end of the PHE, and at that time, further clarification on the ending of Medicaid flexibilities will be communicated by Iowa Medicaid to stakeholders.
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COVID-19 Vaccine for Children Ages 5-11
Children 5 to 11 years old are now eligible to receive the Pfizer COVID-19 vaccine.
All COVID-19 vaccines are FREE for Medicaid and Hawki members, age 5 or older. Medicaid members should show their Managed Care Organization (MCO) card when receiving the vaccine.
Medicaid providers will receive a reimbursement of $40 per dose for administration of the COVID-19 vaccine for children, ages 5-11. Providers should submit Medicaid member claims to the member's MCO or through the Fee-for-Service (FFS) program as applicable to the member.
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2021 Annual Provider Training Sessions
This year's Annual Provider Training sessions will be held via Zoom on November 17-19, 2021. Iowa Medicaid Provider Services, Iowa Total Care, and Amerigroup will all participate in the training sessions. Delta Dental of Iowa (DDIA) and Managed Care of North America (MCNA) will not be giving presentations, but dental providers may still find the presentations useful.
The Iowa Medicaid presentation will include information on:
- Claims and billing
- Top 10 Claims Denial Reasons
- Prior authorizations
- Eligibility and Verification Information System (ELVS) Portal training
- Iowa Medicaid Provider Access (IMPA) Portal training
- Provider enrollment
- Telehealth
There will be three morning sessions and three afternoon sessions. Providers only need to sign up for one session. Providers who are unable to attend one of the six sessions, will be able to view the presentations and listen to recordings on the DHS website.
Providers interested in attending one of the virtual training sessions, can register online via the links below. Information on how to login to the virtual meeting will be sent you you via email once you have completed the registration form.
- Session 1: Tuesday, November 16, 2021, 9 a.m. - 12 p.m. Registration
- Session 2: Tuesday, November 16, 2021, 1-4 p.m. Registration
- Session 3: Wednesday, November 17, 2021, 9 a.m. - 12 p.m. Registration
- Session 4: Wednesday, November 17, 2021, 1-4 p.m. Registration
- Session 5: Thursday, November 18, 2021, 9 a.m. - 12 p.m. Registration
- Session 6: Thursday, November 18, 2021, 1-4 p.m. Registration
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Registration Open for Upcoming Virtual Medicaid Provider, Member Town Halls
Registration is now open for the November 2021, December 2021, and January 2022, virtual town hall meeting for Medicaid providers and members.
Upcoming virtual town hall schedule:
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Wednesday, November 17, 2021
4:00 to 5:00 PM: Providers
5:00 to 6:00 PM: Members
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Thursday, December 16, 2021
4:00 to 5:00 PM: Providers
5:00 to 6:00 PM: Members
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Thursday, January 27, 2022
4:00 to 5:00 PM: Providers
5:00 to 6:00 PM: Members
Providers interested in attending any session may register online . Advance registration is encouraged but not required. Login credentials for the virtual meeting will be shared via email on the day of the event with those who have registered. Credentials will also be posted on the DHS website.
Members interested in attending any session may also register online . Advance registration is encouraged but not required. Login credentials for the virtual meeting will be shared on the day of the event with those who have registered and will be posted on the DHS website. Members who need assistance in registering may contact IME Member Services at 1-800-338-8366.
Providers should share this information with members that may be interested in attending a town hall meeting.
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Job Opportunities with Iowa Medicaid
DHS-Iowa Medicaid is seeking applicants for the following positions:
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Dental Wellness Plan (DWP) and DWP Kids Contacts |
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IA Health Link Success Stories |
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IA Health Link is a managed care program that works to make sure members get the health care they need. Click the image at the right to read IA Health Link success stories. |
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