Referral

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.

Medical group

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:

Amerigroup Provider Handbook

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

Contact Us

If you have questions or would like information related to specific services or topics, please visit our Contact Us page.

If you prefer to get in touch with EPSDT Care for Kids by phone, please use this number:

Telephone: 319-353-8869

Website Accessibility

EPSDT is committed to making all information and materials accessible to everyone.

To increase the font size on pages, hold CTRL and press + (PC) or hold Command and press + (Mac). Please contact us if you need materials in alternate formats.