Iowa Service Provider Authorization is a legal document designed to provide written permission from the State of Iowa to a service provider to provide specific services to individuals in the state. Iowa Service Provider Authorization is part of the state's licensing process, and is required for providers to legally provide services. There are two types of Iowa Service Provider Authorization: Temporary Authorization and Full Authorization. Temporary Authorization is granted to providers who have not yet completed the full application process, while Full Authorization is granted to providers who meet all the criteria and requirements for providing services in Iowa. Both types of authorization require that the provider provide proof of licensure, training, and financial stability to the State of Iowa.
Iowa Service_Provider_Authorization
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Prior authorization?sometimes called precertification or prior approval?is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
If you would like additional information, you may contact Iowa Total Care Member Services at 833-404-1061 (TTY: 711).
Prior authorization in health care is a requirement that a provider (physician, hospital, etc.) obtains approval from your health insurance plan before prescribing a specific medication for you or performing a particular medical procedure.
1-800-338-7752 (Toll Free) Services Offered: Medicaid eligibility verification tool using automated voice response.
All prior authorizations must be submitted through the Case Manager or Care Coordinator. For more information, contact Provider Services at 1-833-404-1061.
Access to quality medical services is just one of the many Iowa Medicaid benefits that Iowa Total Care provides to eligible individuals and families in the state. You can view some of the basic health care services that are covered by Iowa Health Link (Medicaid) below or contact us today for more information.
Iowa Total Care uses prior authorizations to ensure that all care delivered to our members is medically necessary and appropriate based on the member's type and severity of condition.