Our Mission
Provide systems of sustainable and equitable oversight that targets accountability and compliance, focusing on prevention of fraud, waste, and abuse of Medicaid programs.
Our Purpose
Ensure state and federal taxpayer dollars are spent appropriately on delivering quality services, necessary care, and preventing fraud, waste, and abuse within the Medicaid Programs.
Program Integrity Responsibilities
- Enforcement of Federal and State Rules and Regulations
- Governance of Federal and State Rules and Regulations
- Exclusions and Sanctions
- Program Integrity Oversight of Managed Care Plans
- Medical Managed Care
- Dental Managed Care
- Audits and Investigations pertaining to Fraud, Waste and Abuse
- Payment Error Rate Measurement (PERM) Audits
- Overpayment Recoveries
- Program Integrity Fiscal Management
- Program Integrity Data Analytics
Iowa Medicaid Sanction List
View Iowa Medicaid Sanctions List.
- A list of providers that are found to be in violation of the Iowa Medicaid Program.
- The list identifies all individuals, organizations, and entities that Iowa Medicaid Program Integrity Unit has taken an adverse action against for the following reasons:
- Involuntarily Terminated from Participation
- Involuntarily Suspended from Participation
- OIG Excluded
- Medicare Revocations
- Outstanding Overpayments
- Sanction list verifications should be sent to iaverify@dhs.state.ia.us
Program Integrity Forms
- Deficit Reduction Act (DRA) Form 470-5506
- Program Integrity TIP Form, 470-5793
- Whistleblower Policy and Form
Contact Us
- Exclusions and Sanctions
- Report Adult and Child Abuse and Medicaid Fraud
- Program Integrity Unit
- Operating Hours
- Monday - Friday 8:00 AM - 4:30 PM
- 877-446-3787 (Toll Free)
- Clinical Record Request/Payments related to findings/Report Fraud
- Contact Information
- PO Box 36390 Des Moines, IA 50315
- 877-446-3787 (Toll Free)
- 515-256-4615 (Des Moines Area)
- 5157251354 (Fax)
- Contact Information
- Operating Hours
- Managed Care Organizations (MCOs)
- Dental Benefit Managers (DBMs)
- Medicaid Audits and Investigations: fwa_audits@dhs.state.ia.us
- General Audits and Investigation Information
- Payment Error Rate Measurement (PERM) Information
- Credible Allegation of Fraud (CAF) Information
- Program Integrity Tips
- IA Medicaid Sanction List Verifications