June 10, 2016  |  Issue 19  |  Volume 1
Medicaid e-News
Useful Information:
Reminder: Deadline Approaching
June 16, 2016, is the last day for members who transitioned to the IA Health Link on April 1, 2016, to change their Managed Care Organization (MCO) for any reason After that members may only change their MCO for reasons of 'Good Cause,' such as their provider not being in their MCO's network. 

This date is fast approaching and we want to make sure everyone has a chance to change their MCO if they wish to do so. Please share this information.

New members whose MCO coverage began after April 1, 2016, continue to have 90 days from their choice period end date to change their MCO for any reason. This date can be found on the member's enrollment letter or by calling Iowa Medicaid Member Services.

Members may change their MCO by calling Iowa Medicaid Member Services at 1-800-338-8366 or 515-256-4606 from the Des Moines area, Monday through Friday, 8 a.m. to 5 p.m.

Choice cut-off dates can be viewed here.

Managed Care Cards and Medicaid ID Numbers
All three Managed Care Organizations (MCOs) include the member's Medicaid ID number on the member's MCO ID card. 

To view samples of the MCO member ID cards click here.

Public Notice :
Formal Waivers Submitted
The Iowa Medicaid Enterprise (IME) has submitted formal applications for the Iowa Wellness Plan (IWP) waiver extension and Marketplace Choice (MPC) waiver termination. You may view the documents submitted to the Centers for Medicare and Medicaid (CMS) here
Tools and Resources:
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.

Coverage has Begun!
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.

AmeriHealth Caritas, Iowa Inc.

UnitedHealthcare Plan of the River Valley, Inc.


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. 

Communications Toolkit

The IA Health Link Communications is full of resources including FAQs, social media posts, images, links and more. Download it below:

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