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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
2016 Preventive Health Guidelines
expand Disease Management Centralized Care Unit
About DMCCU
Provider Rights and Responsibilities
expand EPSDT
EPSDT Reminder Program
expand Find Your Provider Representative
For Behavior Health Questions: BH Consultant Map
For Medical Questions: Medical 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
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 Informational Letters
Pharmacy Prior Authorization Forms
Dual Eligible LINET Program
expand Quality Management
Medicaid QM Desktop Reference Guide
2016 HEDIS Guidelines and Coding Booklet
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
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