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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
  • 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 Behavioral Health
Mental Health Outpatient Treatment Form-hawk-i
Behavioral Health Concurrent Review Form-IA Health Link
Behavioral Health Discharge Note-IA Health Link
Behavioral Health Initial Review Form-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
expand Claims Submission and Reimbursement Policy
Electronic Data Interchange (EDI)
Claims and Billing Reference Manual
expand Clinical Practice Guidelines
Clinical Practice Guidelines Matrix
expand Disease Management Centralized Care Unit
How to Use DMCCU
How to Contact DMCCU
expand EPSDT
EPSDT Provider Training
EPSDT Toolkit
expand Find Your Provider Representative
For Long-Term Supports & Services Questions: LTSS Consultant Map
For Practice Consultant Questions: Quality Management Consultant Map
expand Forms
Sterlization Consent
Recoupment Notification Form-hawk-i
Overpayment Refund Notification Form-hawk-i
Critical Incident Report Form
Primary Care Provider Change Request Form-hawk-i
Universal Precertification Request Form
expand Health Home
Health Homes Brochure
Health Home Extra Benefit Request Form
expand ICD-10
ICD-10
expand Long Term Services and Supports (LTSS)
CDAC Daily Services Record Form
expand Manuals & Referral Directories
Iowa Provider Manual
Iowa Medicaid Provider Directory Volume 1
Value Added Benefits Booklet
expand Maternal Child Program
Newborn notification of delivery form
Postpartum LARC Benefit Information
Guidelines on cervical length (CL) screening
expand Medical Management Model
Care Management
Medical Management Model
expand Newsletters - Archived
Provider News Issue 1 2016
Provider News Issue 3 2016
expand Newsletters - Current
2017 Quarter 1 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
Healthy Rewards Flier
2017 HEDIS Overview for Providers
expand Quick Tools
Medical Policies
expand Screenings
Pediatric Symptom Checklist
Mood Disorder Questionnaire Bipolar Disorder Screening
Functional Activities Questionnaire
Alzheimer’s Mini-Cog Screening
CRAFFT Adolescent SUD Screening
Vanderbilt Assessment Scales ADHD Screening
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
Moving Toward Equity in Asthma
expand Tutorials
Provider Website Guide
Claims Appeal Tutorial
Remittance Viewer Process Guide
expand Vendor/Partner Links & Information
Express Scripts Provider Portal
Express Scripts Pharmacy Locator Tool
Iowa