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News & Announcements

Do more online by registering for Provider Self-Service

Through Provider Self-Service, you can:
  • File and check the status of medical claims
  • NEW — Submit Claims Payment Disputes electronically via Availity
  • Verify eligibility
  • Request precertification
    • Billing at Group level, include Group NPI
    • Billing at Individual Practitioner level, include individual NPI
  • And much more!

To log in, use your Availity ID and password.

If you need an Availity ID, visit www.Availity.com to register today.

Visit Frequently Asked Questions about Availity for more information.

Provider Self-Service

 Provider Resources & Documents

expand Amerigroup Iowa System Configuration Updates
expand Behavioral Health
Mental Health Outpatient Treatment Form-IA Health Link
Behavioral Health Discharge Note-IA Health Link
Psychological Testing Request for Authorization-IA Health Link
Coordination of Care Form-IA Health Link
Neuropsychological Testing Request for Authorization-IA Health Link
BH hawk-i Covered Benefits Grid
Applied Behavior Analysis Authorization Request Form
Behavioral Health - Health and Wellness Covered Benefits
Behavioral Health Psychiatric Medical Institute for Children Initial/Concurrent Review Form-IA Health Link
Behavioral Health Psychiatric Medical Institute for Children Initial
Subacute LOC
Iowa Medicaid Crisis Stabilization Utilization Management Guideline
Concurrent Review Form for Inpatient, RTC, PHP and IOP
Interactive Care Reviewer Benefits Brochure
expand Claims Submission and Reimbursement Policy
UB-04 Claim Form
CMS 1500 Claim Form
Electronic data interchange gateway update
expand Clinical Practice Guidelines
2019 Preventive Health Guidelines
expand Critical Incident Form
expand Disease Management
How to Use Disease Management
How to Contact Disease Management
expand EPSDT
EPSDT Provider Training
EPSDT Toolkit
expand Find Your Provider Representative
For General Medical Questions: General Medical Consultant Map
For Behavioral Health and Long-Term Services & Supports Questions: BH-LTSS Consultant Map
expand Forms
Medical Injectable Prior Authorization Form-IA Health Link
Recoupment Notification Form-IA Health Link
Overpayment Refund Notification Form-IA Health Link
Medical Injectable Prior Authorization Form-hawk-i
Primary Care Provider Change Request Form-hawk-i
Inpatient Universal Precertification Request Form
UM Member Appeal Form
Outpatient Medicaid Prior Authorization Form
expand Health Home
Health Homes Brochure
Integrated Health Home Contact Information List
expand Long Term Services and Supports (LTSS)
CDAC Daily Services Record Form
expand Manuals & Referral Directories
Iowa Provider Manual
expand Maternal Child Program
Maternity Notification Form
Prenatal ultrasound coverage and coding
Healthy Rewards Program
Prenatal ultrasound diagnosis (Dx) code update
expand Medical Management Model
Care Management
Medical Management Model
expand Newsletters - Archived
Provider News Issue 1 2016
Provider News Issue 3 2016
2017 Quarter 1 Provider Newsletter
2017 Quarter 3 Provider Newsletter
February 2018 Provider Newsletter
June 2018 Provider Newsletter
October 2018 Provider Newsletter
February 2019 Provider Newsletter
June 2019 Provider Newsletter
October 2019 Provider Newsletter
expand Newsletters - Current
February 2020 Provider Newsletter
June 2020 Provider Newsletter
September 2020 Provider Newsletter
expand Pharmacy
Preferred Drug List
Pharmacy Tools
Dual Eligible LINET Quick Reference Guide
Synagis Prior Authorization Process Overview
American Academy of Pediatrics ADHD Clinical Practice Guideline
expand Quality Management
Medicaid QM Desktop Reference Guide
2020 HEDIS Guidelines and Coding Booklet
expand Quick Tools
Medical Policies and UM Guidelines
Medical Policies and Clinical UM Guidelines Search
expand Screenings
PHQ-9 Depression Screening
Michigan Alcohol Screening Test (MAST)
CAGE-AID SUD Screening
Assist SUD Screening
Audit Alcohol Use Questionnaire
Pediatric Symptom Checklist
expand State Communications
Pharmacy Prior Authorization Process
expand Training Programs
Register for Availity Services
Provider Orientation
IA Home and Community Based Services (HCBS) Orientation
Cultural Competency Training
Long-term Services and Supports Provider Orientation
Individual CDAC Provider Training
My Diverse Patients Training: Reducing Health Care Stereotype Threat
Peer Support Services Flier
Provider Universal PreCert OP Services
Annual Provider Training 2019
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Overview
expand Tutorials
Provider Website Guide
Claims Appeal Tutorial
Remittance Viewer Process Guide
Atypical Providers and Availity
Iowa