Read Informational Letter 2279-MC-FFS-D for more details. View the extra benefits youre eligible for on the Benefit Reward Hub or call Member Services at 800-600-4441 (TTY 711) Monday through Friday from 7:30 a.m. to 6 p.m. Central time. Guidance on covered services and claims billing related to coronavirus and COVID-19. Amerigroup is a health insurance plan that serves people who receive Medicaid. Are You Taking Advantage of All We Have to Offer? ProviderPortal 2.0 Need transportation to a covered medical service? We look forward to working with you to provide quality service for our members. Managed Care Organization (MCO) Provider-Specific Contact Information | Iowa Department of Health and Human Services Home Provider Services Managed Care Organization (MCO) Provider-Specific Contact Information Page Menu Managed Care Organization (MCO) Provider-Specific Contact Information You can also call 1-800-600-4441 (TTY 711) to request materials in another language or format including audio, braille, or large print. The2021 Iowa Medicaid Reference Guideprovides an overview of both the state's Medicaid program as well as the Children's Health Insurance Program (CHIP), including program eligibility, covered services, state oversight, budget development, and the governing framework of the programs. 1-844-544-1390 Congratulations to the 14 providers who received grant funds to make their locations more accessible to individuals with additional needs. Self Service Portal Home Page DHS Services Portal expire ???skipToMainContent??? Medicaid and Medicare Insurance | Amerigroup The above link is a listing of all diagnoses codes that are considered emergent by the IME. Iowa Health and Wellness Plan | Amerigroup Iowa Medicaid Iowa Medicaid is gathering feedback from providers on how to improve provider outcomes to better serve members. If you no longer qualify, we can connect you to the right options for you and your family. On April 1, 2016, the Iowa Department of Human Services transitioned most Iowa Medicaid members to a managed care program calledIA Health Link. Translation and Interpretation Services for Members:Iowa Medicaid can arrange for an interpreter to help members speak with us in almost any language. 7:30 a.m. to 6 p.m., Monday through Friday. On Wednesday, the Iowa Department of Health and Human Services announced the intent to award managed . Set. IA Health Link members between the ages of 12 and 16 years may not ride alone unless a Minor Consent Form is on file, or the minor is emancipated or pregnant. To register for testing, please contact the IME Provider Services Unit at 1-800-338-7909, or locally in Des Moines at 515-256-4609 or by email at ICD-10project@dhs.state.ia.us. Have you completed your health risk assessment? If you wish to enroll as an Ordering/Referring provider, please go to the the Provider Enrollment webpage. That's why weve redesigned the provider site to make it more useful for you and easier to use. You canlive chat with a rep Monday through Friday from 7:30 a.m. to 6 p.m. Central time, orsend us a secure messageanytime of day. You will also find more provider-specific information regarding the managed care transition on theMedicaid Modernizationweb page. Clive, IA 50325, Call Iowa Medicaid Member Services: But some things never change. Other benefits, like prescriptions, vision, and dental care, may be covered, depending on where you live and your age. Benefits may change. access the CareBridge EVV portal to create a manual entry or correct a missed Check-In or Check- . The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer. View or print your member ID card. Claims are a legal document bearing providers attestation of services provided. IME's portal for these transactions is EDI support services (EDISS). Individuals who are pregnant, children, adults, and people with disabilities may qualify for this type of health coverage. Contracting with the MCOs is necessary to continue providing care to Medicaid members. Your benefits include a wide range of prescription and many over-the-counter (OTC) medicines. Contact Member Services. TTY 711. Fast, free medical advice from a nurse or doctor, day or night, even on holidays, in more than 170 languages. Amerigroup Iowa, Inc: Focused on your health We've been helping Iowa families get and stay healthy since 2016. Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. We are here to help. Non-Emergency Medical Transportation (NEMT) | Iowa Department of Health . Iowa will soon have three health insurance companies to help run its Medicaid program. Box 36450 Des Moines, IA IA 50315 MCO Provider-Specific Contact Information News and Announcements Need help with something? Contact Member Services. Access the HCBS ID Waiver Tiered Rate Fee Schedule. Learn more on our official site. You can live chat with a representative or send us a secure message once you log in. The guide is availablehere. Links below: Call 1-833-404-1061 Option #3 then Option #5, Call 1-833-404-1061 Option #3 then Option #1, Call 1-833-404-1061 Option #3 then Option #4, Call 1-833-404-1061 Option #3 then Option #6, View and Print Explanation of Payment (EOP). Visit our COVID-19 Resource Center for more information. The EOB codes used by the IME differ and are considered non HIPAA compliant as they give more detailed information than 835's. Call Wheres My Ride. We are here to help. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Iowa, Inc. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA), Medical Policies and Clinical UM Guidelines, Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Provider Update: Amerigroup Denial Explanation Code Update. APCs are an outpatient prospective payment system applicable only to hospitals. Apply for assistance Members should call Iowa Medicaid Member Services for help at 1-800-338-8366 or locally in the Des Moines area at 515-256-4606. As a participating Amerigroup provider, youre required to participate in critical incident reporting. We created this short video to show you how. But some things never change. Effective August 1, 2019, the Iowa Medicaid Enterprise (IME) and the Managed Care Organizations (MCOs) implemented a mandatory electronic billing requirement for all Medicaid enrolled providers for both Fee-for-Service (FFS) and Managed Care claims.