Iowa Providers

Welcome Iowa providers!

Attention providers!

We are pleased to announce that beginning January 1, 2024, Amerigroup in Iowa will become Wellpoint. Our new name fits with our brand vision to be a source of lasting wellness for our members — your patients — at all points in their health journey.

There is no action needed by our care providers. There will be no changes to your agreements or contract, reimbursement, or level of support — now or in the future — because of our new name. For members, this evolution to Wellpoint will not cause any change to coverage or access to care. We look forward to continuing to provide our members with the strong medical coverage and healthcare assistance they expect and deserve.

A message from Wellpoint Iowa

After the recent events in Perry, we will be directing members to supportive services, potentially including your office. Should you feel that you are unable to be responsive to the need – please let us know and we will work with you to ensure access is available nearby.

Your Life Iowa is a 24 hour a day resource for behavioral health needs. We provide free, confidential support and connect you to resources when you need them.

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

For questions about eligibility, benefits, authorizations, claims status, and more; log in to Availity Essentials* and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

Availity access

The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

At Availity, you can:

Request authorizations
Submit claims
Confirm eligibility

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Receive email from Wellpoint

Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

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Provider news

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child services

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health

We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

NCQA Health Plan Recognition

Accredited NCQA Health Plan

Provider tools & resources

Interested in becoming a provider in the Wellpoint network?

We look forward to working with you to provide quality service for our members.

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