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Our communications are a great way for providers to receive helpful information, education, important updates, and more! Our goal is to provide information to help you care for Molina Healthcare Members. Please get in touch with us at (844) 236-1464 with suggestions or comments on how we can best communicate with you. For specific concerns, please email IAProviderRelations@MolinaHealthcare.com.

Coming 2026: Medicare Advantage D-SNP 

Molina Healthcare of Iowa has announced an exciting expansion of its services. Beginning January 1, 2026, we will offer Medicare Advantage Dual Special Needs Population (D-SNP) products in 86 counties!

Key dates to remember: 

• Open enrollment: The open enrollment period for this new Medicare Advantage D-SNP offering will commence in October 2025. During this period, eligible residents can sign up for the new plans and ensure they have coverage starting in 2026. 

• Provider training: To ensure that health care providers are prepared for this transition, Molina Iowa will initiate training programs in the Fall of 2025. These sessions will equip providers with the necessary knowledge and tools to manage and support the new Medicare plans effectively. 

Stay tuned for more updates and information as the launch date draws nearer and take advantage of the opportunities that this new Medicare Advantage D-SNP offering will bring. 

Utilization Management Process Update - Effective 10/1/2024:

Sending sufficient clinical information to support a requested PA is an expectation. Beginning October 1, 2024, Molina Healthcare of Iowa asks for clinical information one time if insufficient documentation accompanies the authorization request. If not received within 24 hours, the review will be completed, likely leading to a denial. Please see this Provider Notice for more information. 

Prior Authorization Requests:

We encourage all providers to use Availity Essentials for authorizations. Please submit electronically via the Availity Essentials portal. Reminder: for Advanced Imaging Cite Auto Auth submissions, this is also done via Availity Essentials.

Provider Advisory Council

Molina Iowa Provider Network thanks our Providers that participate in the Iowa Molina Provider Advisory Council (IMPAC). To be a part of this council, please complete the sign up form here. We look forward to our next meeting November 2025.

HCBS Work Group

If you would like to be included in the work group that is held during the open forum portion of our IMPAC meeting, please sign up here and we will send you the Webex information the month prior to the meeting.

Reminder to Home Health Providers

• Take the first step to get set up with EVV if you haven't done so already. Go here to get registered.

• Iowa Health and Human Services announced that the changes to Home Health Services 837i claim elements for Electronic Visit Verification (EVV) for Home Health Services (HHS) being billed on an institutional (837i) claim were required to be set up as of October 1, 2024 in the CareBridge EVV Provider portal. Please click here for more details.

POD Update

We would like your help collecting your business’ up-to-date website link as well as if you have providers that are multi-lingual. You may include these in roster submissions, and/or send directly to IAPODUpdate@MolinaHealthcare.com. If there are any retired email contacts, or you want to make sure we have the best email for provider communications, please email Tiffany.Verhey@MolinaHealthcare.com. 

Want regular Molina Iowa Provider Communications?

We have partnered with Constant Contact to be our Provider communications email vendor. You will need to check your Spam/Junk folder the first time you receive to 'Accept and Release' this trusted name. For regular news, updates and announcements, sign up here!

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