Dedicated to promoting quality long term care
News for Iowa Health Care Association members and their employees SPECIAL EDITION, April 4, 2016
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Managed Care - Eligibility & Care Management
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Confirming member eligibility and MCO assignment
(All)

With IA Health Link managed care program launched April 1, here is direction for confirmation of member eligibility and MCO assignment and selection through IME ELVS and through the MCOs individually. Read More »
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MCOs and care management programs
(All)

MCOs are responsible for managing their members including setting their own criteria for care management programs, such as the Lock-In (LI) program. Read More »
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Managed Care - Reimbursement
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Electronic claims submission to MCOs
(All)

IME offers information and resources for providers on submitting claims electronically to MCOs. Read More »

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New Medicaid, IA Health Link, claims submission
(All)

Here are instructions from DHS and resources from MCOs for submitting Medicaid claims with the launch of IA Health Link, Medicaid managed care. Read More »

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RCFs and managed care
(RCF)

What role do residential care facilities play in the transition to managed care? Read More »
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Managed Care - Regulatory
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Incident reporting for HCBS
(HCBS, CDAC)

Beginning April 1, 2016, incident reports for Medicaid members enrolled in HCBS and Habilitation will be reported to the member’s MCO. Read More »
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Managed Care - Prescription Drugs
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Preferred drug list for managed care
(All)

IA Health Link and hawk-i programs will be using the Iowa Medicaid Preferred Drug List effective April 1. Read More »

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Vaccine reimbursement for hawk-i program
(HHA)

Effective April 1, 2016, vaccines given to hawk-i members by providers will be reimbursed by the three MCOs. Read More »
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Managed Care - MCOs
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MCOs' provider contacts
(All)

MCOs provide maps that include their contact person for providers by region. Read More »

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Are you listed among the in-network providers?
(All)

Is your organization listed as an in-network provider with the MCOs you have signed contracts with? It would be a good idea to check to make sure. Read More »

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Managed Care - Resources
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IA Health Link 2016 public comment meetings
(All)

DHS is holding public comment meetings each month to gather input on the IA Health Link managed care program. Read More »
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IHCA and MCOs conference calls
(All)

Mark your calendar now and plan to participate in the next two IHCA Managed Care Member Conference Calls. Read More »
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Education Calendar
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MDS 101 - Basic MDS 3.0 Training, April 5, West Des Moines
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MDS 201 - Advanced MDS 3.0 Training, April 6, West Des Moines
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Assisted Living Management Certification Program, April 11-15, West Des Moines
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Assisted Living Regulatory Nurse Class, April 14, Noah's Event Center, West Des Moines 
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SNF Medicare Review, April 19, West Des Moines
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Professional LTC Nursing Seminar, April 27, Coralville
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Home Health Value Based Purchasing Conference, April 27, West Des Moines
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Professional LTC Nursing Seminar, April 28, West Des Moines
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NW District Meeting & Education, May 3, Meeting @ 9:00, Education @ 10-12:00, Storm Lake
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NE District Meeting & Education, May 5, Meeting @ 9:00, Education @ 10-12:00, Cedar Falls
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Assisted Living and RCF Nurses Conference, May 11, West Des Moines
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SE District Meeting & Education, May 17, Education @ 10-12:00, Meeting/Lunch 12-1:00, West Liberty
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SW District Meeting & Education, May 19, Meeting @ 9:30, Education @ 10:30-12:30, Atlantic
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Activity Professionals Conference, June 9, West Des Moines
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ICAL Assisted Living Manager Certificate Program - Online, Ongoing, web-based
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Online Dementia Care Training and Individual Certification Program
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Activity Professionals Home Study Course, Home Study Course
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Click on the event link to learn more about each educational offering and to register. If you have additional questions, contact Georgene Olson at 800.422.3106.

West Des Moines area hotel discounts for IHCA ICAL members.

Map to the IHCA ICAL Education Center, 1775 90th Street, West Des Moines, IA.

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In This Issue
Managed Care - Eligibility & Care Management
Managed Care - Reimbursement
Managed Care - Regulatory
Managed Care - Prescription Drugs
Managed Care - MCOs
Managed Care - Resources
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