Medicaid Provider Manuals & Policies

• Services After Death Date (125.77 KB) .pdf
• Informational Letter No. 2665-MC-FFS Services After Death Date (04/30/25)
• Informational Letter No. 2577 MC-FFS Services After Death Date (06/24/24)

• This section is a list of correspondence sent out by Iowa Medicaid to update providers on any policy changes that will affect them.
• The Informational Letters in this section are also an important cross reference for any new policy changes that have been implemented but are not yet reflected in the published Provider Manual.

A list of correspondence sent out by Iowa Medicaid to clarify policy that affects each Managed Care Plan’s operation.

Each of the policy clarifications listed here have been provided to the managed care plans. The managed care plans have attested to each policy clarification based on Iowa Medicaid business practices at the time of issuance.

• This section outlines a complete listing of all the technical and instructional manuals used by recognized provider types as specified by Iowa Medicaid.
• Each of the provider manual is specific to a service offered by Iowa Medicaid. They are designed to guide providers with clear outlines of what services are covered or not covered under that service.
• Additionally, the manuals also provide instructions on how to read and complete the various forms required by Iowa Medicaid for each service. These manuals serve as a very important tool for providers in helping them ensure a more seamless administrative process involving Iowa Medicaid's guidelines, billings, and documentations.

Community Based Organization Guidance Chapters

Access Funds

Community Mental Health Centers (CMHC)

Crisis Services

Projects for Assistance in Transition from Homelessness (PATH)

 Peer Operated Organizations

Substance Use and Problem Gambling Prevention

Systems of Care 

Tobacco Prevention   

All Medicaid Provider Chapters

    I.   General Program Policies

    II.  Member Eligibility

    IV. Billing Iowa Medicaid

Appendix 

Institutional Care 

Acute Hospital Services  (949.02 KB) .pdf

Intermediate Care Facilities for the Intellectually Disabled (ICF/ID)

Nursing Facility 

Psychiatric Medical Institutions for Children (PMIC) 

Residential Care Facilities (RCF) 

Waiver Services

Home and Community-Based Services (HCBS) 

All Other Services

Advanced Registered Nurse Practitioner  

Ambulance Services 

Ambulatory Surgical Center 

Area Education Agency (AEA) 

Audiologist and Hearing Aid Dispenser 

B3 Provider Manual Guide

Behavioral Health Intervention Services (BHIS) 

Behavioral Health Services 

Birth Centers 

Chiropractic Services 

Community Mental Health Center (CMHC) 

Crisis Response Services

Dental Services 

Durable Medical Equipment 

Family Planning Services 

Federally Qualified Health Center (FQHC) 

Habilitation Services

Home Health Services 

Hospice 

Immunization (206.27 KB) .pdf

Independent Laboratory 

Infants and Toddlers Program 

Lead Investigation Agency 

Local Education Agency 

Maternal Health Center (MHC) 

Occupational Therapy  

Optometrist and Optician Services 

Orthopedic Shoe Dealer 

Pharmacy Outpatient Prescribed Drugs 

Pharmacy Point-of-Care Testing

Physical Therapy

Physician Services 

Podiatric Services 

Psychology Services 

Public Health Agency 

Rehabilitation Agency 

Rural Health Clinic (RHC) 

Screening Centers 

Speech-Language Pathology

Subacute Mental Health Services 

Targeted Case Management, Case Management, and Care Coordination

This section deals directly with the Office of Policy Analysis of Iowa HHS. It outlines two fundamentally important sections, the HHS Policy and Procedure Manuals and the Iowa HHS Administrative Rules. The Iowa HHS Policy and Procedural Manuals provide instructions for HHS staff and contracted vendors on the administration of various HHS programs.