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 Resource Library

Program Integrity Education and Training Resources

Program Integrity Forms

Contact Us