Provider Applications
Iowa Medicaid Universal Provider Enrollment Application (November 2019)
Iowa Medicaid Universal Home- and Community-Based Services Waiver Provider Application (February 2021)
Provider Enrollment
The Iowa Medicaid Enterprise (IME) has developed a visual aid to help prospective providers better understand the process for enrolling with IME. This only describes the IME enrollment process. Once a provider is enrolled with the IME, they must go through the Managed Care Organization (MCO) credentialing process. Download and print the Provider Enrollment Process Flow Chart.
Managed Care Covered Benefits
The Iowa Medicaid Enterprise (IME) has developed a comparison document which provides information on basic required benefits for Medicaid, Iowa Health and Wellness Plan, and Hawki. View the Comparison Grid here.
Prior Authorization (PA) Summary by Plan
The Iowa Medicaid Enterprise (IME) has put together a prior authorization (PA) summary by plan. Quickly view and compare PA requirements for each plan with this easy-to-use chart. Download and print the PA requirements by plan. (May 2019)
Vision Benefit Guide
The Iowa Medicaid Enterprise (IME) has put together a vision benefit summary by plan for the IA Health Link managed care program. Providers can quickly view key contact information and requirements for each plan and each coverage group with this easy-to-use chart. View the vision benefit guide. (September 2021)
Work Process Flow Charts for Various Medicaid Programs
Iowa Medicaid provides health coverage to more than 700,000 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.
- Flow Chart for Changing MCO
- Flow Chart for Enrollment Process for New HCBS Waiver Members (FFS and MCO)
- Flow Chart for MCO Enrollment Process
Translation and Interpretation Services
Medicaid is federally obligated to provide translation services. Translation services are available to IA Health Link members—through their Managed Care Organization (MCO)—and are also available for Iowa Medicaid Fee-for-Service (FFS) members.
Member Choice
MCO Provider Resources:
Managed Care Organization (MCO) Contact Information
MCO Provider Training Presentation Slides
Amerigroup
Amerigroup
MCO Provider Resource Pages
Amerigroup
Amerigroup
MCO Quick Reference Guide
MCO Provider Manuals
Amerigroup Iowa, Inc.
Iowa Total Care