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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
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
Hospital System Statewide Network Manager
For Ancillary Provider Questions: Statewide Ancillary Network Managers
Patient Centered Care Consultant Regions- Quality Management
expand Forms
Sterlization Consent
Recoupment Notification Form-hawk-i
Overpayment Refund Notification Form-hawk-i
Practice profile update form
Primary Care Provider Change Request Form-IA Health Link
Critical Incident Form
Authorized Representative Managed Care Appeals Form
expand Health Home
Health Homes Brochure - Spanish
expand Health Home Notification Form
Health Home Notification Form
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
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
August 2018 Provider Newsletter
December 2018 Provider Newsletter
April 2019 Provider Newsletter
expand Newsletters - Current
August 2019 Provider Newsletter
December 2019 Provider Newsletter
April 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
2019 HEDIS Guidelines and Coding Booklet
expand Quick Tools
Medical Policies and UM Guidelines
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
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
expand Tutorials
Web certification and appeals tutorial
Member Information and Panel Listings
Precertification Request Guide
Iowa Provider Change Guide
Iowa