AI HubAn Overview of Medicaid Managed Care in Iowa
This video introduces Iowa’s managed care structure, particularly Iowa Total Care, and its role in Medicaid home care — as a payer that demands EVV-compliant billing.
It also reviews Iowa’s multiple HCBS waiver programs that fund home care services and how EVV functionality intersects with waiver billing.
Who we empower every day
By Role- Agency Owners – Align your agency with MCO and waiver requirements to maximize reimbursement
- Supervisors – Monitor that delivered services meet MCO / waiver rules
- Care Managers – Tailor care plans to authorized services and funding restrictions
- Billers – Submit claims according to MCO and waiver billing rules
- Schedulers – Assign staff only when services are authorized
- Caregivers – Understand service limits under different programs
- On-Call Coordinators – Cover gaps when care conflicts with payer rules
EVV becomes mandatory for PCS as of 2021 and for HHCS as of 2024 in Iowa. Without EVV, claims to MCOs (like Iowa Total Care) or waiver payers can be rejected.
