Standard Contracts
Iowa Medicaid Provider Agreement General TermsIowa Medicaid Provider Agreement • May 30th, 2020 • Iowa
This Agreement is between the State of Iowa, Department of Human Services (the “Department”), and the Provider or Group Provider and its members or Practitioner(s) (the “Provider”). The operations management responsibility for the Iowa Medicaid Program is through the Iowa Medicaid Enterprise (the “IME”).
IOWA DEPARTMENT OF HUMAN SERVICES IOWA MEDICAID ENTERPRISE Iowa Medicaid Provider AgreementIowa Medicaid Provider Agreement • October 12th, 2020 • Iowa
This is a Provider Agreement for participation in Title XIX of the Social Security Act (as amended) and the State funded medical assistance program known as the Iowa Medicaid Program. This Agreement, effective on the date specified on the signature page of this document, is between the State of Iowa, Department of Human Services, hereafter called the Department and the undersigned [Provider, Group Provider and its members or Practitioner(s)] hereafter called the Provider. The operations management responsibility for the Iowa Medicaid Program is through the Iowa Medicaid Enterprise (IME). On its effective date, this Agreement supersedes and replaces any existing contracts between the parties related to the provision of health care goods and/or services to recipients of the Iowa Medicaid Program. The effective term of this Agreement shall be six (6) years from the date signed herein.
