December 18, 2019  |  Issue 14  |  Volume 4

Medicaid e-News
News and Announcements:
Upcoming Provider Training Session
Starting in 2020, the Iowa Medicaid Enterprise (IME) will hold quarterly provider training sessions in addition to the annual provider training that takes place each year. 

The quarterly training sessions will be held in one region, and focus on a specific topic. The annual training session will continue to be held throughout the state and will target all provider types. All sessions, quarterly and annual, will include representatives from the IME and the Managed Care Organizations (MCOs).

Quarter 1 Provider Training Session
Topic: Community-Based Case Management
Date: January 13, 2020
Location: Grand River Center, 500 Bell St., Dubuque
Times: 9 a.m. - 12 p.m. and 1 p.m. to 4 p.m.

Registration for both the morning and afternoon sessions is now open. Quarterly training sessions will be recorded and made available on the IME website for providers who cannot attend.

More information about 2020 Provider Training Sessions can be found in Informational Letter 2075-MC-FFS.
MCO System Configurations
Amerigroup Iowa and Iowa Total Care are now posting weekly updates on their respective websites any systemic claims related configuration issues that are affecting providers.

Each update includes the known system issues, a brief description, the date the issue was identified, status, provider types affected, number of providers impacted as well as an expected completion date and an expected claims reprocessing date.

Public Notice
The following public notice has recently been posted on the Department's website:


Reminders:
Changing Your MCO
The Member Open Choice Period ended September 30, 2019.

Going forward, members may only change their MCO during their annual choice period or for reasons of good cause.

Members requesting to change their MCO due to good cause first must contact their current MCO to go through their grievance process for resolution.  If the issue has not been resolved following the decision of the grievance, the member may call Iowa Medicaid Member Services at 1-800-338-8366. The final decision for disenrollment will be determined by DHS. More information can be found on the Department's website .

Provider Tools and Resources:
Providers are Encouraged to 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 and batch submission, 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. 

If you currently do not have access to the ELVS web portal, you can register your provider at https://connect.edissweb.com. Each additional user that would like access to the provider's information can complete an Additional Access Request Form. If you have any questions regarding EDISS registration, call 1-800-967-7902.
 
Provider Resource Pages
Comprehensive provider resource pages are available for each MCO, featuring provider training manuals, webinars and important updates. View them below:


Informational Letters
Informational letters are posted through the Iowa Medicaid Portal Application (IMPA) system and are available on the DHS website.   These letters communicate important policies and procedures for providers and their administrative staff. 
IA Health Link Contacts
MEMBER SERVICES

1-800-600-4441

1-833-404-1061

PROVIDER SERVICES

1-800-454-3730

1-833-404-1061
Dental Wellness Plan Contacts
MEMBER SERVICES

1-888-472-2793

1-855-247-6262
PROVIDER SERVICES

1-888-472-1205

1-855-856-6262

Iowa Medicaid Contacts
1-800-338-8366

PROVIDER SERVICES

1-800-338-7909

Success Stories
IA Health Link Success Stories
IA Health Link is a managed care program that works to make sure members get the health care that they need. Click the image above to read success stories.
 


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Iowa Medicaid Enterprise | IMECommunications@dhs.state.ia.us | dhs.iowa.gov
611 Fifth Ave., Des Moines, IA 50309