Medicaid Policies, Rules & Regulations

• Services After Death Date
• 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.

General

• General Letters
• Employees' Manual Table of Contents (Titles 1 through 24)

All Provider Chapters

    I.   General Program Policies

    II.  Member Eligibility

    III. Billing Iowa Medicaid

    IV. Appendix 

Institutional Care 

•     Acute Hospital Services 
•   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 
•   Behavioral Health Intervention Services (BHIS) 
•   Behavioral Health Services 
•   Birth Centers 
•   Chiropractic Services 
•   Community Mental Health Center (CMHC) 
•   Crisis Response Services
•   Dental Services 
•   Family Planning Services 
•   Federally Qualified Health Center (FQHC) 
•   Habilitation Services
•   Home Health Services 
•   Hospice 
•   Independent Laboratory 
•   Infants and Toddlers Program 
•   Integrated Health Home Program (IHH) 
•   Lead Investigation Agency 
•   Local Education Agency 
•   Maternal Health Center (MHC) 
•   Medical Equipment and Supply Dealer 
•   Occupational Therapy  
•   Optometrist and Optician Services 
•   Orthopedic Shoe Dealer 
•   Physical Therapy
•   Physician Services 
•   Podiatric Services 
•   Prescribed Drugs 
•   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.