Medicaid
Iowa Medicaid, which includes the IowaCare program, is administered by the Iowa Medicaid Enterprise (IME). The Iowa Medical Society represents physician interests in these programs year round but especially during the Iowa legislative sessions.
Iowa Medicaid to pay for interpreter services
On July 1, Iowa Medicaid began reimbursing for interpretive services provided to patients who are Medicaid or hawk-i members. For the services to be covered, they must be provided by a qualified interpreter who is employed or contracted...
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IME changes pharmaceutical case management codes
The Iowa Medicaid Enterprise (IME) recently sent Informational Letter 801 to providers updating them on new billing codes for pharmaceutical case management (PCM) services...
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Some mental health drugs may move to Medicaid PDL
At a meeting of the Iowa Medicaid Drug Utilization Review Commission's (DUR) Mental Health Advisory Group (MHAG), members voted to support inclusion of select mental health...
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Medicaid PERM project begins
All Iowa Medicaid-participating physicians should have received notification (PDF 24KB) from the Iowa Medicaid Enterprise (IME) regarding the Payment Error Rate Measurement (PERM) project being conducted in Iowa....
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Guidance for Lost or Destroyed Medical Records
Recent natural disasters in Iowa may have resulted in lost or destroyed patient records. The Iowa Medicaid Enterprise (IME) has provided an Informational Letter to Iowa providers regarding...
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Medicaid issues notice re: ASC reimbursement
On January 1, CMS began implementing revisions to the Medicare payment system for Ambulatory Surgical Center (ASC) services. Medicare reimbursement for ASC services had been based on a fee schedule, and Iowa Medicaid has...
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Iowa Medicaid announces its NPI contingency plan
The Iowa Medicaid program has issued a statement regarding its NPI contingency plan as well as its grace period on use of new claim forms, and short-term delay on NDC implementation. Read the IME notice.