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The user is responsible for determining the applicability and legality of this information and for determining the most recent law, statute or regulation(s) that may be applicable to the user’s particular situation. Amerigroup is now in the process of accepting applications to join the Amerigroup Iowa Health Link Program Network. 1-866-864-2544 Spanish: 1-866-864-2545 TTY 711. The map on the next slide has regional contact details. Member questions: Call 1-800-338-8366 to learn more. Listen now! The Iowa Department of Human Services (DHS) has issued a Notice of Intent to Award a contract to Amerigroup Iowa, Inc. (Amerigroup) to manage the Iowa High Quality Healthcare Initiative, now called the Iowa Health Link Program. authorization requirements and setting determinations, May 2020 Medical Policies and Utilization Management Guidelines update, Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines, Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines, November 2019 Medical Policies and Clinical Utilization Management Guidelines update, Submit behavioral health authorizations via our online Interactive Care Reviewer tool, Updates to AIM Specialty Health advanced imaging Clinical Appropriateness Guidelines, New behavioral health discharge call-in line, February 2020 Medical Policies and Clinical Utilization Management Guidelines update, Ordering, rendering, prescribing providers, Prior authorization requirements: new 2020 codes for coverage and precertification, Required documentation of assisted living service encounter, Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline, 2020 Affirmative Statement Concerning Utilization Management Decisions, Clinical Criteria Web Posting February 2020, Electronic submission is preferred method for requesting pharmacy prior authorization, Clinical Criteria Web Posting December 2019, Claims submission guidance: date spanning reminders, Clinical Criteria Web Posting November 2019, Behavioral Health Individual Psychotherapy Services - Updated Notification, Multiple and Bilateral Surgery: Professional and Facility Reimbursement Policy Update, August 2019 Medical Policies and Clinical Utilization Management Guidelines update, Clinical Criteria Web Posting September 2019, Elsevier Performance Manager Provider Registration, Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates, Clinical Criteria Web Posting August 2019, Clinical Laboratory Improvement Amendments, June 2019 Medical Policies and Clinical Utilization Management Guidelines update, March 2019 Medical Policies and Clinical Utilization Management Guidelines Update, Prior authorization requirements changes effective November 1, 2019, March 2019 Clinical Utilization Management Guidelines, Behavioral Health CPT Codes and Precertification Update Effective November 1, 2019, Pharmacy benefit manager change to IngenioRx Effective October 1, 2019, Home Health Services Authorization Requirements, Home Health Services, Private Duty Nursing/Care, and HCBS Billing Reminders, Prepayment clinical validation review process, ID Waiver Daily SCL Transportation Guidance, January 2019 Medical Policies and Clinical Utilization Management Guidelines Update, 2019 Utilization Management Affirmative Statement concerning utilization management decisions, Clinical Criteria updates - Posted 4/1/2019, Transition of outpatient rehabilitation UM program effective May 1, 2019, Correction: Cervical length measurement by transvaginal ultrasound (health link), Correction: Cervical length measurement by transvaginal ultrasound (Hawki), November 2018 Medical Policies and Clinical Utilization Management Guidelines Update, Behavioral Health Facilities Roster Staff Collection, Non-Covered Home Health Medicare Claims Submission, Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit, Intensive Outpatient and Partial Hospitalization Preauthorization Update, Prior authorization requirements for Sublocade, September 2018 Medical Policies and Clinical Utilization Management Guidelines Update, Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants, Prior authorization requirements for Subcutaneous Implantable Defibrillator system, July 2018 Medical Policies and Clinical Utilization Management Guidelines Update, Change in Nursing Facility and Intermediate Care Facility/Intellectual Disability (ICF/ID) Authorization Process, Cervical length measurement by transvaginal ultrasound, Prior authorization requirements for Interferon beta-1a, Prior authorization requirements for Somatrem, Wound care: medical review criteria changes, New pharmacy prior authorization retail fax number, New pharmacy electronic prior authorization request tool (ePA) through CoverMyMeds, Amerigroup Iowa, Inc. transitions to MCG Care Guidelines, Medical Policies and Clinical Utilization Management Guidelines update - May 2018, Availity Claim Payment Disputes Training Webinar, Electronic Data Interchange migration to Availity, Crisis Services and Subacute Clinical Criteria, Prior authorization requirements for injectable/infusible drugs: mepolizumab and reslizumab, Medical Policies and Clinical Utilization Management Guidelines update - March 2018, Medical Policies and Clinical Utilization Management Guidelines update - January 2018, Prior authorization requirements for Cabazitaxel (Jevtana), Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service, New review process for not otherwise classified drug codes, Prior authorization requirements for Darzalex, Electrical stimulation device to require prior authorization, Prior authorization requirement update for Mylotarg, Lower extremity vascular intervention codes require prior authorization, Billing Guidance for Individual Consumer Directed Attendant Care Providers, Medical Policy update - Hyaluronan Injections, Eight injectable drugs will require prior authorization, Q4 Medical Policies and Clinical Utilization Management Guidelines Updates, Experimental and Investigational Services, Idursulfase to require prior authorization, Medical Policies and Clinical Utilization Management Guidelines, Effective June 1, 2018, Amerigroup Iowa, Inc. providers are encouraged to use ProView for credentialing, Q3 Medical Policies and Clinical Utilization Management Guidelines Updates, Elotuzumab to require prior authorization, Q3 Medical Policies and Clinical Utilization Management Guidelines update, Clinical Utilization Management Guidelines — First Quarter, 2017, Substance use disorders in pregnancy and neonatal abstinence syndrome, Hemophilia factor injections to require prior authorization, Wheelchair component or accessory, not otherwise specified to require prior authorization, Q2 Medical Policies and Clinical Utilization Management Guidelines update, Q4 2016 Medical Policies and Clinical Utilization Management Guidelines update, IHH Behavioral Health Providers and Therapy Providers, URGENT: IME Provider Enrollment Notification, State Approves Habilitation Utilization Management Guidelines for Amerigroup, Appointment Availability and After-hours Access Requirements, Additional information on ClaimCheck upgrade to ClaimsXten, Genetic testing services to require prior authorization, Prior authorization requirements for new injectable/infusible drugs: Istodax (romidepsin), Ixempra (ixabepilone),Doxil (doxorubicin), Torisel (temsirolimus)and Inflectra (infliximab-dyyb), Continuous interstitial glucose monitoring about Availity for more information. Webinar recording available from Amerigroup Iowa, Inc. for network providers on SBA loans and other federal relief programs in response to COVID-19 Federal resources available for health care providers and employers in the federal CARES Act Posted: (3 days ago) COVID-19 update: Amerigroup Iowa, Inc. suspends select prior authorization rules and announces significant policy adjustments in response to unprecedented demands on health care providers (May 30, 2020) Listen now! Our precertification, referrals, claims and payment processes are streamlined to help you focus on what you do best – caring for your patients. Sign up to receive email from Amerigroup Iowa, Inc. Find a doctor or pharmacy with an easy to use search tool on Amerigroup.com. IHH & Habilitation Provider Training with Amerigroup. Amerigroup is now in the process of accepting applications to join the Amerigroup Iowa Health Link Program Network. Iowa Medicaid Formularies. Amerigroup & You Providing care for those who need it most requires a team effort and there's no more critical person on this team than you the provider. to require prior authorization, Intracardiac electrophysiological studies and catheter ablation to require prior authorization, Elective one and two vessel coronary artery bypass graft to require prior authorization, IA Health Link waiver and Habilitation prevocational and supportive employment services regulation and billing update, Iowa Medical Policy and Technology Assessment Committee Q2 2016, Federal nondiscrimination and accessibility update, Policy Procedure Update for Prior Authorizations, Utilization Management Provider Information Updates, Precertification update for vascular embolization or occlusion services, Availity Overview Webinar - June 30, 2016 and July 14, 2016, Effective November 1, 2016 ClaimsCheck® upgrade to ClaimsXten™, Important Information on Requesting Diabetic Supplies, AIM Specialty Health® (AIM) to conduct medical necessity reviews for vascular and radiology modalities, Screening and Identification of Behavioral Health Conditions in Primary and Women’s Health Care Webinar - April 28, 2016, Effective April 1, 2016: valid Iowa Medicaid ID required for pharmacy prior authorization requests, April 1, 2016 Amerigroup Membership Coverage Begins, Amerigroup Iowa, Inc. offers web-based provider visits, Long-term Services and Supports Provider Orientation, Amerigroup Iowa System Configuration Updates, Medicare Advantage — Amerigroup Iowa, Inc. launches new Dual Special Needs Plan, Behavioral Health Concurrent Review Form for Inpatient and Partial Hospital Programs, Behavioral Health Initial Review Form for Inpatient and Partial Hospital Programs, Medicare Advantage - Request for Authorization: Psychological Testing, Medicare Advantage — 2021 Service Area and Benefit, Mental Health Outpatient Treatment Form-IA Health Link, Mental Health Outpatient Treatment Form-hawk-i, Behavioral Health Discharge Note-IA Health Link, Psychological Testing Request for Authorization-IA Health Link, Psychological Testing Request for Authorization-hawk-i, Neuropsychological Testing Request for Authorization-IA Health Link, Neuropsychological Testing Request for Authorization-hawk-i, Applied Behavior Analysis Authorization Request Form, Behavioral Health - Medicaid Covered Benefits, Behavioral Health - Health and Wellness Covered Benefits, Habilitation Services Criteria Utilization Management Guidelines, Behavioral Health Psychiatric Medical Institute for Children Initial/Concurrent Review Form-IA Health Link, Behavioral Health Psychiatric Medical Institute for Children Initial, Crisis Stabilization Management Guidelines, Iowa Medicaid Crisis Stabilization Utilization Management Guideline, BH Interactive Care Reviewer Training Presentation, Concurrent Review Form for Inpatient, RTC, PHP and IOP, Initial Review Form for Inpatient and Partial Hospital Programs, Interactive Care Reviewer Benefits Brochure, Electronic data interchange gateway update, Hospital System Statewide Network Manager, For General Medical Questions: General Medical Consultant Map, For Ancillary Provider Questions: Statewide Ancillary Network Managers, For Behavioral Health and Long-Term Services & Supports Questions: BH-LTSS Consultant Map, Patient Centered Care Consultant Regions- Quality Management, Medical Injectable Prior Authorization Form-IA Health Link, Recoupment Notification Form-IA Health Link, Overpayment Refund Notification Form-IA Health Link, Overpayment Refund Notification Form-hawk-i, Medical Injectable Prior Authorization Form-hawk-i, Primary Care Provider Change Request Form-hawk-i, Primary Care Provider Change Request Form-IA Health Link, Inpatient Universal Precertification Request Form, Authorized Representative Managed Care Appeals Form, Outpatient Medicaid Prior Authorization Form, Universal prior authorization (PA) forms for medical requests: Q & A, Integrated Health Home Contact Information List, Claim for Targeted Medical Care Instructions, Community Based Case Manager Regional Leadership Map, Guidelines on cervical length (CL) screening, Reimbursement for early elective deliveries, Prenatal ultrasound diagnosis (Dx) code update, Preferred Drug List Informational Letters, Dual Eligible LINET Quick Reference Guide, Synagis Prior Authorization Process Overview, American Academy of Pediatrics ADHD Clinical Practice Guideline, Medical Policies and Clinical UM Guidelines Search, Experimental and Investigational Procedure Codes, Mood Disorder Questionnaire Bipolar Disorder Screening, Vanderbilt Assessment Scales ADHD Screening, Interpreter Services Desktop Reference Card, IA Home and Community Based Services (HCBS) Orientation, IA Consumer Directed Attendant Care (CDAC) Orientation, My Diverse Patients Training: Breast Cancer Screening for African American Women, My Diverse Patients Training: Reducing Health Care Stereotype Threat, My Diverse Patients Training: Creating an LGBT-Friendly Practice, Screening Brief Intervention Referral to Treatment (SBIRT), Consumer Assessment of Healthcare Providers and Systems (CAHPS) Overview, File and check the status of medical claims, NEW — Submit Claims Payment Disputes electronically via Availity, Billing at Group level, include Group NPI, Billing at Individual Practitioner level, include individual NPI.

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