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

• All hospital special units and physical rehabilitation hospitals must be certified by the Iowa Medicaid enterprise to qualify for Medicaid reimbursement as a special unit or physical rehabilitation hospital.

• Cost reports as filed shall be subject to review and audit by the Iowa Medicaid enterprise to determine the actual cost of services rendered to Medicaid members, using an accepted method of cost apportionment (as specified in OMB Circular A-87).

• Pending determination of habilitation services provider costs, the provider may bill for and shall be reimbursed at a unit-of-service rate that the provider and the Iowa Medicaid enterprise may reasonably expect to produce total payments to the provider for the provider’s fiscal year that are consistent with Medicaid’s obligation to reimburse that provider’s reasonable costs.

• The application should be mailed to the Iowa Medicaid enterprise provider services unit.

• The Iowa Medicaid enterprise shall make retroactive adjustment of the interim rate after the submission of annual cost reports.

More Definitions of Iowa Medicaid enterprise

Iowa Medicaid enterprise means Iowa Medicaid enterprise as defined in section

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 Iowa Medicaid enterprise as defined in section 135.154.

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. Following payment 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 that is a state- federal funded program administered by the State of Iowa, department of human services.