Medicaid Provider Services

What is Provider Services?

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.

• Provider Reference Guide

To view member-specific contact information, please go to Managed Care Organizations (MCOs).

News and Announcements

• 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.
  • Flow Chart for Provider Enrollment Process
  • Flow Chart for Changing MCO
  • Flow Chart for Enrollment Process for New HCBS Waiver Members (FFS and MCO) (Español)
  • Flow Chart for MCO Enrollment Process