July 13, 2016  |  Issue 22  |  Volume 1
Medicaid e-News
Special Announcement:
The Dental Wellness Plan Now Has Two Dental Carriers for Members to Choose From
The Dental Wellness Plan provides dental coverage for members enrolled in the Iowa Health and Wellness Plan. Delta Dental of Iowa has been the sole dental carrier since the program was established on May 1, 2014.  The Iowa Medicaid Enterprise (IME) is pleased to announce that MCNA Dental will be joining the Dental Wellness Plan. 

Dental Wellness Plan members now have two dental carrier options to choose from:
Both dental carriers are required to offer the same benefits and have their own network of dentists and dental providers. 

Current Members
Members who are currently assigned to Delta Dental will remain with Delta Dental. These members will be notified by mail of their opportunity to change their dental carrier. View the Dental Wellness Plan 'New Choices Letter' here.

New Members
New members will be given a tentative assignment and are provided a choice period to select their dental carrier. View the Dental Wellness Plan 'Enrollment Letter' here.

For more information see Informational Letter 1696 and visit the Dental Wellness Plan webpage. 

Questions about the transition and how it affects providers should be directed to Sabrina Johnson.

Tools and Resources:
Iowa Medicaid Processes Made Simple
Iowa Medicaid provides health coverage to more than 640,000 Iowans through a variety of different programs. These programs have processes in place to make sure members get the care they need. Some processes are complex, but important to understand. The Iowa Medicaid Enterprise (IME) has developed visual aids to help members, providers and stakeholders better understand the various processes in place at the IME. Click on the links below.
Verify Eligibility
The Eligibility and Verification Information System (ELVS) line is very busy during the first of the month. The ELVS web portal  is another option for providers in lieu of calling the ELVS line but each provider must enroll through the Electronic Data Interchange Support Services (EDISS). The ELVS web portal allows for multiple eligibility checks, where as the ELVS phone system only allows for one at a time.

Login ID and password may be obtained through EDISS by submitting the following Access Request Form to EDISS or calling EDISS at 1-800-967-7902. 

For more information, please see Informational Letter 1650-MC available here.
 
Resource Guide for Providers' Front Desk Staff
The Iowa Medicaid Enterprise (IME) has put together a useful tool for administrative staff which includes important phone numbers, claims submission information and more.

Download and print the Managed Care Quick Reference Guide here.

Managed Care Organization Provider Resource Pages Available
Comprehensive resource pages are available for each Managed Care Organization (MCO), featuring provider training manuals, webinars and important updates. You may view them below:


Looking for an Old Issue of the Medicaid e-News?
Each edition features useful tools and important updates. Now you can quickly access old issues to find what your looking for. Visit the Iowa Medicaid newsletter page 
where you'll find links to each issue.

MCO Member Services

Non-Emergency Medical Transportation
Members may contact their assigned non-emergency medical transportation (NEMT) broker at the numbers below to schedule their  NEMT services:

Amerigroup Iowa Inc.
Logisiticare
1-844-544-1389

AmeriHealth Caritas, Iowa Inc.
Access2Care
1-855-346-9760

UnitedHealthcare Plan of the River Valley, Inc.
MTM
1-888-513-1613
_________________

Medicaid 
Fee-for-Service 
Access2Care/TMS
1-866-572-7662


New 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. 

Iowa Medicaid Enterprise | IMECommunications@dhs.state.ia.us | dhs.iowa.gov
100 Army Post Rd., Des Moines, IA 50315

Copyright © 2016. All Rights Reserved.