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Behavioral Health Service System
What is the Behavioral Health Service System?
On May 15, 2024, a new law (House File 2673) was signed. Iowa HHS his law combined previously separated service systems that focused on mental health, gambling, substance use and tobacco into one system, now called the Behavioral Health Service System.
List items for BH System Alignment Overview
- There is no wrong door to accessing mental health and substance use services.
- No matter where you are in Iowa, you can get the help you need.
- The Administrative Service Organization (ASO), Iowa Primary Care Association, will handle tasks on the backend that make it easier for behavioral health providers to focus on giving quality care.
Nothing will change for Iowans who have Medicaid or private insurance, services and providers will stay the same. Iowans who do not have insurance or very limited insurance will be able to get help through the Behavioral Health Service System. All Iowans can use Your Life Iowa to get support through calls, texts, or chats. Behavioral Health System Navigators will guide people to the right care and services.
A "safety net provider" is a healthcare provider, like a certified community behavioral health clinic (CCBHC), community mental health center (CMHC), community health center (CHC), or public hospital, that helps people with low income or no insurance. These providers offer care even if someone can’t pay.
- Prevention, education, and early intervention of mental health and addictive disorders, including but not limited to alcohol use, substance use, tobacco use, and problem gambling.
- Crisis services for Iowans who need help right away
- Services to support individuals' recovery
- Outpatient treatment for mental health and addictive disorders
- High-intensity treatment for serious needs
- Alternatives to hospital care
- Inpatient and residential treatment
- Help for people involved in the justice system
System Navigation is a process that helps individuals understand and access the services they need. System Navigators help Iowans by:
- Educating them on available services and options
- Helping schedule appointments
- Connecting to support groups and other resources
- Helping to address barriers to care and troubleshoot when access is challenging
Anyone can use the System Navigation—there are no rules about who qualifies.
Behavioral health districts are defined geographic areas established to support the local coordination of services. The seven districts (map) are structured to promote fair distribution of resources, balanced workloads, and consistent access to care across the state.
Crisis Service Resources
Have questions about Iowa's Behavioral Health Service System?
See our FAQ webpage for regularly updated questions and answers or submit a question to our Behavioral Health Feedback Form.
Where should I call about services?
Know someone affected by gambling, mental health, substance use or a related problem? Looking for help for yourself? Call Your Life Iowa 24/7 at 855-581-8111.
Behavioral Health Statewide Service System Plan
The Behavioral Health Statewide Service System Plan is Iowa’s guide to improving behavioral health services across the state. It was created with input from local communities and experts. The plan focuses on solving important problems and making sure everyone in Iowa can get the care they need.
Information for Providers & Community Based Organizations (CBOs)
List items for Information for Providers & Community Based Organizations (CBOs)
The Iowa PCA encourages providers and partners supporting behavioral health services in Iowa to complete a Provider Profile.
This Provider Profile will help the Iowa PCA build a provider network directory and ensure accurate information about providers interested in contracting to provide services to support the continuum in Iowa's Behavioral Health Service System, including Prevention, Early Intervention, Treatment, Recovery, and Crisis services.
Iowa HHS and the Iowa PCA have developed a Provider & Partner Toolkit to help educate providers and partners about changes to the Behavioral Health Statewide System starting July 1, 2025.
Safety Net Management Information System (SNMIS)
Updated fee schedules are located in the SNMIS Billing Guide
Have questions about SNMIS? See our FAQs on SNMIS billing
List items for Safety Net Management Information System (SNMIS)
The SNMIS Billing and Companion Guides are designed to support your successful use of the SNMIS platform for filing claims for SUPTRS, Behavioral Health, and Non-Medicaid LTSS Disability Services.
To further support your transition, SNMIS Office Hours will begin June 18 and will be held Wednesdays, 10:00 to 10:30 a.m., through December 31, 2025. These virtual sessions will have a panel of subject matter experts from Iowa HHS to help answer questions and troubleshoot issues related to the SNMIS.
- Office Hours Meeting Link: https://www.zoomgov.com/j/1600240912
- Meeting ID: 160 024 0912
For questions related to SNMIS, please reach out to the Iowa Department of Health and Human Services (Iowa HHS) at:
- For SUPTRS and Behavioral Health: bhassistance@hhs.iowa.gov
- For Non-Medicaid LTSS Disability Services: dsassistance@hhs.iowa.gov
All Behavioral Health and Disability Service providers must register in the new SNMIS claim reimbursement system as soon as possible to ensure they are ready to submit claims beginning July 1, 2025.
To register, follow these steps:
- To submit claims for services through SNMIS, providers must be enrolled and in good standing with Iowa Medicaid, and any applicable licensing or accreditation bodies. Information on enrolling with Iowa Medicaid can be found here: Medicaid Provider Enrollment.
- Enrollment in Iowa Medicaid will not automatically give you access to billing claims in SNMIS. Iowa Medicaid enrolled providers MUST register with Electronic Data Interchange Support Services (EDISS) for the SNMIS line of business.
Important note: If you are using a vendor for electronic claim submission, the vendor will be required to update their registration in the EDISS to select the SNMIS line of business. A vendor will not be available for selection in the vendor search when adding transactions unless that vendor has the SNMIS line of business selected in their vendor account. Providers will be directed to go back to the vendor advising that the SNMIS line of business needs to be selected. If the Vendor needs assistance, they can contact the EDI Call Center.
Claim form instructions and billing procedures can be found in the SNMIS Companion Guide.
Have questions about SNMIS? See our FAQs on SNMIS billing
Past Behavioral Health Town Hall Materials
List items for Past Behavioral Health Town Hall Materials
January 2025
- Presentation
- Recording
- Passcode: yS$^.X2@
February 2025
- Presentation
- Recording
- Passcode: *a7PKqEE
March 2025
- Presentation
- Recording
- Passcode: S9x1%wi*
April 2025
- Presentation
- Recording
- Passcode: Zc?c.ak6
May 2025
- Presentation
- Recording
- Passcode: 9Q@h6mOy
June 2025
- Iowa PCA Contracting Town Hall
- Presentation
- Recording
- Passcode: B4$kMGBp
- Behavioral Health Town Hall
- Presentation
- Recording
- Passcode: 0S3L?knP
July 2025
- Presentation
- Recording
- Passcode: A8m^!L2L
September 2025
- Presentation
- Recording
- Passcode: 96qE^Lph
Crisis Assessment
In 2023, The Iowa Department of Health and Human Services issued a Request for Proposal for technical assistance and recommendations for Iowa’s crisis continuum of care. Health Management Associates (HMA) was awarded the contract to assess Iowa’s current crisis services and provide a roadmap and recommendations for shifting Iowa’s mental health crisis system to a statewide, coordinated behavioral health crisis system. HMA submitted the Transforming Iowa’s Behavioral Health Crisis Continuum of Care System Assessment and Recommendations Report to Iowa HHS. Read the report's executive summary below.
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