IA Health Link
Medicaid Managed Care
On April 1, 2016, the Iowa Department of Human Services transitioned most Iowa Medicaid members to a managed care program called IA Health Link. Most Iowa Medicaid members are enrolled in IA Health Link, which provides coverage through one of three managed care organizations (MCOs). Providers who care for Medicaid members must contract with the MCOs.
EPSDT Care for Kids
EPSDT Care for Kids is Iowa's Early and Periodic, Screening, Diagnosis and Treatment program for children who are enrolled in Medicaid. Care for Kids services are free to children enrolled in Medicaid. EPSDT services include:
- health history
- physical exam
- growth and development assessment
- vision and hearing screening
- dental screening and education
- immunizations
- developmental/behavioral screening
- nutrition assessment and education
- laboratory tests including blood lead testing
- anticipatory guidance
- referral for further diagnostic and treatment services
The EPSDT Care for Kids Informing and Care Coordination Handbook is available online.
Contact the MCOs
Amerigroup
Amerigroup Iowa, Inc.
Email:
iowamedicaid@amerigroup.com
Phone:
1-800-454-3730
Website:
https://providers.amerigroup.com/ia
AmeriHealth Caritas
AmeriHealth Caritas Iowa, Inc.
Email:
IowaProviderNetwork@amerihealthcaritas.com
Phone:
1-844-411-0579
Website:
www.amerihealthcaritasia.com/IAProvider
UnitedHealthcare
UnitedHealthcare Plan of the River Valley, Inc.
Email:
IowaCommunityNetwork@uhc.com
Phone:
1-888-650-3462
Website:
http://www.uhccommunityplan.com/health-professionals/ia.html
Grievances and Appeals
Providers may file claim disputes with the managed care organizations (MCOs). Each of the three MCOs includes information about their grievances and appeals policies in their provider handbook or manual. Find these online:
Chapter 14: Grievances and Appeals
AmeriHealth Caritas Provider Handbook
Section VI: Grievances, Appeals and Fair Hearings
UnitedHealthcare Provider Manual
Chapter 4: Grievances, Appeals and State Fair Hearings
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