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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
Iowa Children’s Mental Health Waiver Guidelines
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
Subacute LOC
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 General Medical Questions: General Medical Consultant Map
For Ancillary Provider Questions: Statewide Ancillary Network Managers
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 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
Iowa Provider Manual
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
expand Newsletters - Current
June 2018 Provider Newsletter
October 2018 Provider Newsletter
February 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
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