For Providers
Per IL 2625-MC-FFS-D
Effective October 1, 2024, members may receive a 90-day supply of certain maintenance medications.
Please consider prescribing accordingly for members that would benefit from this allowance.
Effective November 18, 2024, providers can utilize the Availity Essentials secure provider portal to validate eligibility and benefits, submit claims, check claims status, submit authorizations, and access Iowa Total Care payer resources.
Already using Availity Essentials? Log in to enjoy these benefits for Iowa Total Care members.
New to Availity Essentials? Visit Register and Get Started with Availity Essentials!
For full details review our provider alert or contact your provider engagement representative.
Ready, Set…HEDIS®
It’s that time of year again: HEDIS is the reason for medical record retrieval season!
From late January through end of April, Iowa Total Care will be collecting members’ medical records for our annual HEDIS Hybrid review. Iowa Total Care staff will be conducting these reviews based on 2024 measurement data.
HEDIS Hybrid medical record review is used to capture data in member charts to ensure they are receiving the best care for their health condition(s). This data is collected and reported on an annual basis as part of the health plan’s accrediting and governmental requirements.
For questions or additional information, please contact the HEDIS email box at: ITC_HEDIS@iowatotalcare.com.
Portal Login
If you are a contracted Iowa Total Care provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim.
Join Our Network
Thank you for your interest in becoming an Iowa Total Care network provider. We look forward to working with you to improve the health of the community.
HOME Project
The Hope and Opportunity in Many Environments (HOME) project is an Iowa Department of Health and Human Services (Iowa HHS)-led initiative. It is dedicated to improving and ensuring equal access to high-quality:
- Behavioral health,
- Disability, and
- Aging services within Iowa communities.
Iowa Total Care and all Iowa managed care organizations are actively working with Iowa HHS on the HOME project.
Over $168,000 Donated To Improve Provider Accessibility
Iowa Total Care partnered with the National Council on Independent Living (NCIL) to grant providers funds to improve practice accessibility. Congratulations to the 14 providers who received grant funds to make their locations more accessible to individuals with additional needs.
