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News for Iowa Health Care Association members and their employees March 6, 2018
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Payment and Reimbursement
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IME collecting identified outstanding overpayments
(Medicaid providers)

IME announced in Informational Letter No. 1893-FFS-D, Collection of Outstanding Identified Overpayments, that effective February 1, 2018, the IME entered into an arrangement with the Iowa Department of Revenue (IDR) Central Collections Unit to assist in collecting outstanding identified overpayments.

Letters notifying providers of the nature, time period, amount, and due date of identified overpayments will continue to be mailed by the IME units as has been the practice in the past. Any identified overpayments not paid by the due date stated in the letter will be referred to the Program Integrity (PI) Unit.

The PI Unit will issue a sanction to suspend the provider from participation in Medicaid if payment is not received within an additional time period specified in the sanction letter. Under Iowa Administrative Code 441 – 79.2(3)c.(3), this suspension is mandatory. This suspension will require the contracted Managed Care Organizations (MCOs) and Dental Wellness Plan (DWP) carriers to suspend all payments to the provider.

In addition to this suspension, the collection process will be turned over to IDR. Once the outstanding overpayment is referred to IDR, the sanction of suspension will only be lifted upon satisfaction of the outstanding debt.

When an outstanding overpayment is referred to IDR for collection, there are numerous avenues for collection that may be pursued including offsetting income tax refunds or other payments from the state; denying, revoking, or suspending licenses or permits including professional licenses; filing liens against property; issuing wage or ank levies; notifying credit reporting agencies; or taking legal action. After IDR has begun collection activities, no payments may be made to the IME. Providers that receive notices from IDR should make payment arrangements directly with IDR.

If you have any questions, please contact the IME Provider Services Unit at 1-800-338-7909. 

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Education Calendar
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Workforce Symposium, March 8, West Des Moines
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Certified Dietary Managers Exam Prep Workshop, March 22, West Des Moines
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2018 Spring Quarterly Education Conference, March 27-28, West Des Moines
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The Art of ICD-10 Coding for Home Health, April 4-5, West Des Moines
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Assisted Living Management Certificate Program, April 9-13, West Des Moines
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Assisted Living Regulatory Nurse Class, April 12, West Des Moines
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CNA and Direct Caregiver Mentorship Program, April 17-18, West Des Moines
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MDS 101 - Introduction to MDS 3.0, May 1, West Des Moines
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MDS 201 - Additional MDS 3.0 Training, May 2, West Des Moines
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Assisted Living Management Certification, Online program
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Online Dementia Care Training and Individual Certification Program
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Click on the event link to learn more about each educational offering and to register. If you have additional questions, contact Georgene Olson at 800.422.3106.

West Des Moines area hotel discounts for IHCA members.

Map to the IHCA Education Center, 1775 90th Street, West Des Moines, IA.

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This newsletter contains confidential information and is intended only for IHCA, ICAL and ICHC membership. Dissemination, distribution or copying the contents of this email beyond this group is strictly prohibited. 

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In This Issue
Quality and Survey
Payment and Reimbursement
Assisted Living
Home Health
Workforce
Spring Quarterly Education Conference
Resources
National News
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