Provider Training Events Have Been a Success!
Provider training events took place across the state during January and the beginning of February. Attendees have provided very positive feedback on these informational events. For those who were unable to attend, webinars with information covered in these events will be posted on our website soon.
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Member Choice Guidelines for Providers
All health care providers delivering services to Iowa's Medicaid population, who are included in the IA Health Link transition to managed care, are welcome to inform their patients of the IA Health Link plans in which they have chosen to participate. However, there are strict prohibitions against patient steering, which all providers must observe. View these guidelines
here.
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Member Mailings
Important mailings are being sent to members. The three mailings identified below
have begun arriving in mailboxes.
These Mailings Include:
- WellCare Reassignment: This mailing was sent to members who self-selected WellCare of Iowa, Inc. or were tentatively assigned to WellCare of Iowa, Inc., noting it is no longer an option. This letter also provides members with a new tentative Managed Care Organization (MCO) assignment.
- Newly Eligible Enrollment Packets: This mailing continues to be sent to new members who became eligible after the initial enrollment packets were sent last fall. This includes the IA Health Link member handbook, a tentative MCO assignment, an MCO selection form and flyers from the three available MCOs.
- hawk-i MCO Choice Options: hawk-i members have the opportunity to self-select before being assigned to an MCO. This follow up letter reminds hawk-i members of their three MCO choices, as well as their need to make a choice by February 17, 2016, or they will be assigned to an MCO.
Upcoming Mailings Include:
- IA Health Link Confirmation of Coverage: This letter confirms the member's coverage with their chosen or assigned MCO, and will be sent to all IA Health Link members later this month.
- hawk-i MCO Assignment Letter: This letter confirms the member's coverage with their assigned MCO and will be sent after February 18, 2016, to hawk-i members who did not make an MCO selection.
Member mailings are posted on our website
here.
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Contracting Continues
Providers are encouraged to continue working with the three managed care organizations (MCOs) to complete contracts and credentialing requirements in time for the anticipated March 1, 2016, launch date. Find the
MCO contacts here.
Iowa providers have signed more than 89,722 contracts with the MCOs. Each plan has enrolled over 81 percent of the currently active fee-for-service Iowa providers in their network. Nearly 45 percent of current providers have signed with all 3 MCOs.
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Managed Care Organization Provider Resource Pages Now Available
Comprehensive resource pages are now available for each Managed Care Organization (MCO), featuring provider training manuals, webinars and important updates. You may view them below:
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Help get the word out in your community!
Iowa Medicaid has scheduled several member enrollment events in communities across Iowa. The events scheduled in Des Moines and Ottumwa for February 2, 2016, were rescheduled due to severe weather.
The member training event in Des Moines will take place on February 8, 2016, from 5 to 7 p.m. at the East Side Library in the H. Dale and Lois Bright community room, located at 2559 Hubbell Ave., Des Moines, IA 50317.
The member training event in Ottumwa will take place on February 11, 2016, from 5 to 7 p.m. at Bridge View Center in room C4, located at 102 Church St., Ottumwa, IA 52501
Promotional flyers are available below. These can be printed and posted at clinics, on community bulletin boards and used as handouts.
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Reminder: Provider Informational Letters
Informational letters are posted through the Iowa Medicaid Portal Application (IMPA) system and are available on the DHS website here.
These letters communicate important policies and procedures for providers and their administrative staff. Providers should watch closely for updates during the transition period.
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Prior Authorization Process Clarification
Informational Letter 1591-MC directed providers on the Prior Authorization (PA) process for the IA Health Link program. Further clarification on this process for both pharmacy drugs that require a PA, and all other services requiring a PA, can be found in
Informational Letter 1607-MC.
PAs are used by the Iowa Medicaid Enterprise (IME) to ensure program integrity, by requiring that all services are medically necessary. The MCOs will honor existing IME PAs for 90 days for all services and providers.
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IA Health Link coverage begins March 1, 2016.
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Managed Care Organizations:
1-800-600-4441
1-855-332-2440
1-800-464-9484
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Current Toolkits
The IA Health Link toolkits are full of resources including FAQs, social media posts, images, links and more. View the links below.
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