Iowa Medicaid POS

Provider Information

The forms are provided here in various formats. If you cannot view a file, please download the appropriate free plug-in from the links below.

Iowa DHS Point of Sale Agreement

Click to view printable version.

You are required to update the Iowa DHS Point of Sale Agreement you previously had completed (see IME Informational Letter #419 for more information).

You have two options to update this information. You may: a) fill out and submit an email acknowledgment as detailed below. All you need to do is click the link and include your provider number, the date and agree to the POS agreement; or b) fill out the linked form and mail it to:

IME Pharmacy POS
100 Army Post Road
Des Moines, IA 50315

IOWA DEPARTMENT OF HUMAN SERVICES
DIVISION OF MEDICAL SERVICES
POINT OF SALE AGREEMENT

THIS AGREEMENT, by and between the Division of Medical Services of the Iowa Department of Human Services, hereinafter called the "Department," acting in its own right as the Agency responsible for administering the Medical Assistance Program (Title XIX) and you, hereinafter called "Provider".

WITNESSETH:

In consideration of the mutual promises and covenants contained herein and other good and valuable consideration, the parties agree as follows:

  • The Department shall allow the Provider to submit claims to IME POS through Point of Sale (P.O.S.).
  • In utilization of claims entry through P.O.S., the Provider shall safeguard the Medicaid program against abuse.
  • The Provider shall correctly enter the claims data, monitor the data, and certify that the data is correct.
  • The Provider shall allow the Department access to all claims data and will assure that the transmission of claims data is restricted to authorized personnel; thus precluding erroneous payments by the Department's Fiscal Agent as a result of carelessness or fraud.
  • At the time of transmission of claims, the Provider shall have on file applicable source data in accordance with existing program requirements, i.e. charge data.
  • The Provider shall allow the Division of Medical Services or any of its designees and representatives to review and copy all records, including source documents and data which relate to information entered for the Medicaid Program.
  • The Provider shall abide by all Federal and State statutes, rules, regulations, and manuals governing the Iowa Medicaid Program and those conditions as set out in the Medical Assistance Provider Agreement entered into previously.

To submit your Point of Sale Agreement, please email info@iowamedicaidpos.com and include your name, email address and provider number. By sending this email, you acknowledge that you have thoroughly read the above agreement, that you have had the opportunity to consult counsel as necessary for you to form a complete understanding of all rights and obligations contained in the agreement, and that you freely accept and agree to be bound by the terms of the agreement.

Informational Letters & Attachments

File Description Date
Informational Letter 1949 148.85 KB MC-FFS Medicaid Drug Rebate Program (MDRP) and National Drug Code (NDC) Coverage 2018-09-14
Informational Letter 1925 124.87 KB MC-FFS Pharmacy Dispensing Fee Increase 2018-07-31
Informational Letter 1894 124.18 KB MC-FFS Blood Glucose Monitor Billing 2018-03-05
Informational Letter 1852 132.27 KB MC-FFS Preferred Diabetic Syringes 2017-11-08
Point of Sale Maintenance Window 108.75 KB 2017-05-01
Informational Letter #1783 122.3 KB MC-FFS Iowa Medicaid Pharmacy Dispensing Fee Decrease 2017-04-11
Informational Letter 1770 135.34 KB FFS Iowa Medicaid Pharmacy Reimbursement Rules 2017-02-24
Point of Sale Maintenance Window 105.16 KB 2017-02-09
Informational Letter 1755-D 121.84 KB Ordering Referring Prescribing (ORP) 2017-01-05
Informational Letter 1750 MC-FFS Preferred Diabetic Syringes 128.71 KB 2016-12-19
IME Provider Portal Maintenance Window 106 KB 2016-10-03
Informational Letter #1705 137.1 KB MC Pharmacy Dispensing Fee Change 2016-08-02
Informational Letter 1676 26.51 KB Pharmacy Point of Sale (POS) - Nonprescription or Over-the-Counter (OTC) Drugs 2016-06-06
Informational Letter 1646 410.93 KB Updated - Federal Upper Limit (FUL) Pharmacy Reimbursement 2016-03-30
Point of Sale (POS) Maintenance Window 105.28 KB 2016-03-28
Informational Letter 1638 228.25 KB Update - 340B Drug Pricing Program 2016-03-22
Informational Letter 1626 230.97 KB Managed Care Organization (MCO) Pharmacy Billing Reference 2016-03-08
Point of Sale (POS) Maintenance Window 105.21 KB 2016-01-28
Member Copay Requirements 53.17 KB 2015-12-15
Informational Letter #1564 127.17 KB All Ordering Prescribing Referring Providers Must Be Enrolled with Iowa Medicaid 2015-12-10
Point of Sale (POS) Maintenance Window 12.32 KB 2015-09-28
Point of Sale (POS) Swith Maintenance Window 7.35 KB 2015-02-04
Informational Letter #1476 132.65 KB Coverage of Outpatient Prescribed Drugs for Hospice Patients 2015-01-26
Informational Letter #1467 123.71 KB Point of Sale Billing for Preferred Diabetic Blood Glucose Monitors and Test Strips 2014-12-30
Point of Sale (POS) Swith Maintenance Window 7.38 KB 2014-12-22
Informational Letter #1450 137.66 KB Iowa Medicaid Data Systems to Undergo Maintenance, Will be Temporarily Unavailable 2014-11-11
Informational Letter #1428 132.5 KB Submission of Approved Exception to Policy (ETP) Requests for Prescribed Drugs 2014-10-13
Informational Letter #1416 126.35 KB Referring or Prescribing Providers Must Be Enrolled With Iowa Medicaid 2014-09-02
Informational Letter #1409 244.57 KB Pharmacy Dispensing Fee Change 2014-08-04
Informational Letter #1408 214.89 KB NCPDP D.Ø Payer Sheet Update for 34ØB Claims Submission 2014-08-04
Informational Letter #1404 234.97 KB 340B Drug Pricing Program 2014-07-17
Informational Letter #1406 208.31 KB Iowa Medicaid Pharmacy Payer Sheet Update for 340B Claims Submission 2014-07-14
Informational Letter #1344 70.54 KB 340B Drugs and Manufacturer Price Adjustment 2014-01-28
Informational Letter #1339 25.56 KB Pharmacy Cost of Dispensing Survey 2014-01-09
Informational Letter #1338 40.02 KB Medicaid Pharmacy Provider Portal. * Replaces Informational Letter #1309. 2014-01-02
Informational Letter #1323 169.86 KB Preferred Diabetic Lancets, Syringes, Blood Glucose Meters and Test Strips 2013-11-25
Informational Letter #1293 Iowa Medicaid Pharmacy Payer Sheet and Guidance 190.78 KB Replaces IL # 1284. 2013-09-16
Point of Sale (POS) System Upgrade Maintenance 14.92 KB 2013-09-05
Informational Letter #1284 Iowa Medicaid Pharmacy Payer Sheet and Guidance 193.56 KB 2013-09-04
POint of Sale (POS) Maintenance 14.44 KB 2013-08-06
IA POS v6.0 Pilot Testing 17.83 KB 2013-08-02
IA POS v6.0 Pilot Testing Notice 21.12 KB 2013-08-02
Pharmacy Reimbursement 309.05 KB 2013-06-13
Reimbursement Changes for Pharmacy and Important Dates #5 227.32 KB 2013-01-31
Reimbursement Changes for Pharmacy and Important Dates #4 77.37 KB 2012-12-26
Reimbursement Changes for Pharmacy and Important Dates #3 254.57 KB 2012-09-26
Reimbursement Changes for Pharmacy and Important Dates #2 79.31 KB 2012-09-17
Reimbursement Changes for Pharmacy and Important Dates #1 46.54 KB 2012-06-13
Preferred Diabetic Blood Glucose Monitors and Test Strips Effective July 1, 2012 84.93 KB 2012-05-15
NCPDP D.Ø Implementation and Termination of NCPDP 5.1 62.51 KB 2012-03-05
Reminder for NCPDP D.Ø Cutover – January 31, 2012 10.54 KB 2012-01-19
NCPDP D.O Implementation ─ Update 2 COB 12.56 KB 2011-12-28
Informational Letter #1082 92.84 KB NCPDP D.O Implementation ─ Update 1 COB 2011-12-28
Iowa Medicaid Pharmacy NCPDP D.0 Implementation, Update 1 - Clarification on COB Claim Processing 51.92 KB 2011-12-19
Iowa Medicaid Pharmacy NCPDP D.Ø Implementation 54.07 KB 2011-12-13
Iowa D.0 Pilot Testing Notice 71.18 KB 2011-10-28
Informational Letter #1056 191.86 KB IAPOP D.0 Payer Sheet and Guidance 2011-09-26
NCPDP D.0 Pilot Testing 86.17 KB 2011-09-13
POS Downtime on June 5, 2011 10.59 KB 2011-05-27
Informational Letter 974 93.99 KB Enforcement Provision Related to Excluded Providers 2010-12-17
Information Letter #909 41.3 KB Electronic Payment and Information Letters 2010-07-02
Informational Letter #865 22.52 KB Pharmacy Program Changes 2009-11-17
Informational Letter #834 15.96 KB Diabetic Test Strips 2009-09-25
Informational Letter #807 35.37 KB Change in Iowa Medicaid Coverage for Diabetic Blood Glucose Monitors 2009-06-04
Iowa Fax Blast 6-4-09 7.31 KB 2009-06-04
Informational Letter #543 135.06 KB Addendum to Informational Letter 533: Ending of "Pay and Chase" 2009-04-02
Informational Letter #533 133.22 KB Ending of "Pay and Chase" 2009-04-02
Informational Letter #724 20.6 KB The legislature appropriated changes in reimbursement rates to several Medicaid provider types for dates of service on or after July 1, 2008. 2009-04-02
Informational Letter #617 21.63 KB Addendum to # 543 regarding the ending of “Pay and Chase" 2009-04-02
Informational Letter #728 42.05 KB Changes to the Preferred Drug List effective July 28, 2008 2008-07-01
Maximum Allowed Days Supply for Prescriptions 21.23 KB 2008-02-14
IME IL #419 Attachment 2 14.6 KB Point of Sale Agreement 2007-03-14
POS Fax Blast 1-18-07 58.78 KB 2007-01-24
IME Informational Letter #497 17.05 KB Proper Crediting Iowa Medicaid for Return of Drugs 2006-05-01
IME Informational Letter #465 33.06 KB 2005-08-04
IME IL #419 Attachment 1 74.09 KB IAPOP 5.1 Payer Sheet 2005-06-24
IME Informational Letter #419 19.13 KB Pharmacy POS Information 2005-06-24
IME IL #419 Attachment 3 430.05 KB New Universal Claim Form (UCF) 2005-06-01

Payer Sheets

File Description Date
IAPOP D.0 POS Payer Sheet Effective April 1, 2017 515.48 KB 2017-02-16

General Information

File Description Date
Informational Letter #1476 132.65 KB of Outpatient Prescribed Drugs for Hospice Patients 2015-01-26
POS Facilitated Enrollment Process in 4 Steps for Pharmacists 64.27 KB 2006-01-23
IME Fax Blast December 30, 2005 26.54 KB 2005-12-30
Medicare Part D Exclusion Listing 35.42 KB 2005-12-27
Pharmacy Fax Blast 08/25/05 36 KB 2005-08-26
Pharmacy Fax Blast 07/13/05 32 KB 2005-07-13
Pharmacy Fax Blast 06/27/05 25.5 KB 2005-06-29
Pharmacy Fax Blast 06/26/05 36.5 KB 2005-06-27
Pharmacy Fax Blast 06/24/05 55 KB 2005-06-24
Pharmacy Fax Blast 06/10/05 29.5 KB 2005-06-24

Billing Information

Billing Information Archive

File Description Date
Iowa Medicaid Quantity Limits (02/27/09) 26.03 KB 2009-04-02
Iowa Medicaid Quantity Limits (02/27/09) 23.86 KB 2009-04-02
Iowa Medicaid Quantity Limits (01/30/09) 23.56 KB 2009-04-02
Iowa Medicaid Quantity Limits (04/30/08) 23.12 KB 2009-04-02
Iowa Medicaid Quantity Limits 20.29 KB 2009-04-02
Common Billing Errors 14.28 KB 2009-04-02
Common Billing Errors 13 KB 2009-04-02
Common Billing Errors 10.75 KB 2009-04-02
Common Billing Errors 10.71 KB 2009-04-02
Common Billing Errors 10.61 KB 2009-04-02