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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
  • 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 - Medicaid Covered Benefits
expand Claims Submission and Reimbursement Policy
CMS 1500 Claim Form
Claims and Billing Reference Manual
expand Clinical Practice Guidelines
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
Prior Authorization Request Form
Practice profile update form
Primary Care Provider Change Request Form-IA Health Link
expand Health Home
Health Home Enrollment Form
Health Homes Brochure - Spanish
Integrated Health Home Contact Information List
expand ICD-10
expand Long Term Services and Supports (LTSS)
Claim for Targeted Medical Care Instructions
Claim for Targeted Medical Care Form
expand Manuals & Referral Directories
Quick Reference Card
Iowa Medicaid Provider Directory Volume 2
expand Maternal Child Program
Maternity Notification Form
Taking Care of Baby and Me Flier
Prenatal ultrasound coverage and coding
Healthy Rewards Program
expand Medical Management Model
Health Education and Wellness
Emergency Diagnosis Codes
expand Newsletters
Provider News Issue 2 2016
Provider News Issue 4 2016
expand Pharmacy
Preferred Drug List Informational Letters
Pharmacy Prior Authorization Forms
Dual Eligible LINET Program
expand Quality Management
Healthy Rewards Flier
expand Quick Tools
Precertification Lookup Tool
Reimbursement Policies
expand Screenings
PHQ-9 Depression Screening
Michigan Alcohol Screening Test (MAST)
CAGE-AID SUD Screening
Assist SUD Screening
Audit Alcohol Use Questionnaire
expand State Communications
340B Drug Pricing Program
expand Training Programs
Register for Availity Services
Interpreter Services Desktop Reference Card
IA Nursing Facility Orientation
IA Consumer Directed Attendant Care (CDAC) Orientation
Electronic Filing Options
Cultural Competency Toolkit
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