Provider Services is who Iowa Medicaid providers contact if they have a problem with their enrollment, services, need assistance filling out form or have a question related to Medicaid.
Provider Services is here for you. If you have any questions about the Iowa Medicaid program, please reach out to us.
Provider Resources
Iowa Medicaid has a reference guide for providers and stakeholders to understand how the Medicaid program operates in Iowa.
Video Tips on Filling Out Prior Authorization Form and Nursing Facility Level of Care (LOC) Certification Form: Iowa Medicaid has released two videos that provide tips on how to fill out a Prior Authorization form and a Nursing Facility LOC certification form.
Home- and Community-Based Services (HCBS) Intellectual Disability (ID) Waiver Tiered Rate Fee Schedule: The following are the procedure codes and tiered rate fee schedule for the ID Waiver daily SCL, full day Day Habilitation and full Adult Day Care services. Access the HCBS ID Waiver Tiered Rate Fee Schedule.
Work Process Flow Charts for Various Medicaid Programs: Presented below are flow charts that outline different work flows that illustrate various policies and processes for various Medicaid programs.
All CNRS providers must complete and submit the Provider Quality Self-Assessment by the specified annual deadline, regardless of whether they are currently offering CNRS services. The form and all necessary documents should be sent together as one document annually.
If you have questions about the 2023 CNRS Provider Quality Self-Assessment, contact the assigned QIO Specialist. You can also send questions via email to cnrs@hhs.iowa.gov
2023 CNRS Provider Quality Self-Assessment
Due by December 31, 2023
The 2023 Self-Assessment Form can be found on the CNRS webpage
All HCBS providers must complete and submit the Provider Quality Self-Assessment by the specified annual deadline, regardless of whether they are currently offering HCBS services. The form and all necessary documents should be sent together as one document annually.
If you have questions about the 2023 HCBS Provider Quality Self-Assessment, contact the assigned HCBS Specialist. You can also send questions via email to hcbsqi@hhs.iowa.gov
2024 HCBS Provider Quality Self-Assessment
Due by January 31, 2025
The 2024 Self-Assessment Form can be found on the HCBS webpage