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Manuals, Forms and Resources

Manuals 

  • Provider Manual (PDF) - Includes information on, but not limited to, programs benefits and limitations, prior authorizations, urgent and emergency care, member rights, provider rights for advocating on behalf of members, cultural competence, grievances and appeals, and key contacts.
  • Provider Billing Manual (PDF) - Includes information on, but not limited to, Iowa Total Care’s billing guidelines, cost sharing requirements, and policies and procedures for third party liability and other collections. You must follow the Coordination of Benefit Administration (COBA) Claims Submission Process for dates of service from July 1 through Spetember 30, 2019. To do so, you must submit COBA claims using the same process as all other claims for which Iowa Total Care is not the primary payer. Include primary explanation of payment (EOP) and any other applicable correspondence with all COBA claims submissions. When Iowa Total Care is the secondary payer, claims must be received within 365 calendar days of the final determination of the primary payer. Claims received outside of these time frames will deny for untimely submission.
  • Consumer Directed Attendant Care (CDAC) User Guide (PDF) - Includes information on CDAC servies covered by Iowa Total Care. 

Forms

*Before filling out the forms below, right click on the link and choose “Save Link As” to save it to your desktop. This will make sure the file shows the information correctly.

Iowa Total Care Forms

Provider Contracting and Credentialing

Provider Resources