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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 Behavioral Health
Mental Health Outpatient Treatment Form-hawk-i
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
Behavioral Health Psychiatric Medical Institute for Children Initial/Concurrent Review Form-IA Health Link
Behavioral Health Psychiatric Medical Institute for Children Initial
Concurrent Review Form-IA Health Link
Crisis Services Clinical Criteria
expand Claims Submission and Reimbursement Policy
Electronic Data Interchange (EDI)
Claims and Billing Reference Manual
Claim for Targeted Medical Care Form
expand Clinical Practice Guidelines
Clinical Practice Guidelines Matrix
expand Critical Incident Form
Critical Incident Form
expand Disease Management
About Disease Management
Provider Rights and Responsibilities
expand EPSDT
EPSDT Reminder Program
expand Find Your Provider Representative
For Hospital Questions: Hospital Consultant Map
For Practice Consultant Questions: Quality Management 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
Value Added Benefits Booklet
expand Maternal Child Program
Newborn notification of delivery form
Postpartum LARC Benefit Information
Guidelines on cervical length (CL) screening
Reimbursement for early elective deliveries
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
expand Newsletters - Current
October 2018 Provider Newsletter
February 2019 Provider Newsletter
June 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
Screening Brief Intervention Referral to Treatment (SBIRT)
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