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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 
expand Behavioral Health
Mental Health Outpatient Treatment Form-IA Health Link
Behavioral Health Concurrent Review Form-hawk-i
Behavioral Health Discharge Note-hawk-i
Behavioral Health Initial Review Form-hawk-i
Psychological Testing Request for Authorization-hawk-i
Coordination of Care Form-hawk-i
Neuropsychological Testing Request for Authorization-hawk-i
PMIC Referral Process for DHS and JCO
Behavioral Health - Medicaid Covered Benefits
Habilitation Services Criteria Utilization Management Guidelines
Child Mental Health Waiver Guideline
Crisis Stabilization Management Guidelines
Subacute LOC
Iowa Medicaid Crisis Stabilization Utilization Management Guideline
expand Claims Submission and Reimbursement Policy
UB-04 Claim Form
CMS 1500 Claim Form
Electronic data interchange gateway update
expand Clinical Practice Guidelines
2017 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 Long-Term Supports & Services Questions: LTSS Consultant Map
For Chiropractor Consultant Questions: Chiropractor Consultant Map
For Behavior Health Questions: BH 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
Universal Precertification Request Form
UM Member Appeal Form
expand Health Home
Health Homes Brochure
Integrated Health Home Contact Information List
expand Health Home Notification Form
expand ICD-10
ICD-10
expand Long Term Services and Supports (LTSS)
CDAC Daily Services Record Form
Community Based Case Manager Regional Leadership Map
expand Manuals & Referral Directories
Quick Reference Card
expand Maternal Child Program
Maternity Notification Form
Taking Care of Baby and Me Flier
Prenatal ultrasound coverage and coding
Healthy Rewards Program
Prenatal ultrasound diagnosis (Dx) code update
expand Medical Management Model
Health Education and Wellness
Emergency Diagnosis Codes
expand Newsletters - Archived
Provider News Issue 2 2016
Provider News Issue 4 2016
2017 Quarter 2 Provider Newsletter
2017 December Provider Newsletter
April 2018 Provider Newsletter
expand Newsletters - Current
August 2018 Provider Newsletter
December 2018 Provider Newsletter
April 2019 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
2018 HEDIS Guidelines and Coding Booklet
expand Quick Tools
Medical Policies
Medical Policies and Clinical UM Guidelines Search
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
My Diverse Patients Training: Breast Cancer Screening for African American Women
My Diverse Patients Training: Creating an LGBT-Friendly Practice
My Diverse Patients
Improving the Patient Experience CME
expand Tutorials
Web certification and appeals tutorial
Member Information and Panel Listings
Precertification Request Guide
Iowa Provider Change Guide
expand Vendor/Partner Links & Information
Express Scripts Prior Authorization
Iowa