Iowa Medicaid enterprise definition

Iowa Medicaid enterprise means the entity comprised of department staff and contractors responsible for the management and reimbursement of Medicaid services.

Iowa Medicaid enterprise means the centralized medical assistance program infrastructure, based on a business enterprise model, and designed to foster collaboration among all program stakeholders by focusing on quality, integrity, and consistency.

Iowa Medicaid enterprise means Iowa medicaid

Examples of Iowa Medicaid enterprise in a sentence

• Additional clarification of the policies is available in the provider manual distributed and updated to all participating providers.79.8(9) The Iowa Medicaid enterprise shall issue a notice of decision to the recipient upon a denial of request for prior approval pursuant to 441—Chapter 7.

• If eligible to dispense drugs, the podiatrist should request a copy of the Prescribed Drugs Manual from the Iowa Medicaid enterprise providerservices unit.

• Pursuant to Public Law 111-148, Section 6401, any practitioner prescribing drugs must be enrolled with the Iowa Medicaid enterprise in order for such prescribed drugs to be eligible for payment.

• If eligible to dispense drugs, the dentist should request a copy of the Prescribed Drugs Manual from the Iowa Medicaid enterprise provider services unit.

• Payment for inpatient hospital admission is approved when it meets the criteria for inpatient hospital care as determined by the Iowa Medicaid enterprise.

More Definitions of Iowa Medicaid enterprise

Iowa Medicaid enterprise means Iowa Medicaid enterprise as defined in section 135.154.

Iowa Medicaid enterprise means Iowa medicaid enterprise as defined in section 249J.3.

Iowa Medicaid enterprise means an administrative entity, a collaboration of contractor and State staff, responsible for the day to day administration of the Iowa Medicaid Program. Within this entity many of the State’s staff create Iowa’s Medicaid policies and the contractors’ staff, overseen by State staff, conduct the day to day operations of the IME including claims adjudication and payment, preferred drug list (PDL), drug rebate, pharmacy point of sale (POS), mailroom and imaging, drug rebate, drug utilization review, member services, provider services, medical services, pharmacy medical services, revenue collections, program integrity and provider cost audit and rate setting functions. Medicaid’s data warehouse is operated by the Agency’s Division of Data Management. Currently all IME staff, are co-located at a facility on the south side of Des Moines, Iowa.

Iowa Medicaid enterprise means the

Iowa Medicaid enterprise means the centralized

Iowa Medicaid enterprise means Iowa Medicaid enterprise as defined in section 249J.3 135.154.Sec. 124. Section 249M.4, subsection 2, Code 2013, is amended to read as follows: 2. Moneys in the trust fund shall be used, subject to their appropriation by the general assembly, by the department to reimburse participating hospitals the medical assistance program upper payment limit for inpatient and outpatient hospital services as calculated in this section. Followingpayment of such upper payment limit to participating hospitals, any remaining funds in the trust fund on an annual basis may be used for any of the following purposes:

Iowa Medicaid enterprise means the Iowa Medicaid enterprise as defined in section 249J.3 centralized medical assistance program infrastructure, based on a business enterprise model, and designed to foster collaboration among all program stakeholders by focusing on quality, integrity, and consistency.