1.Program Definition and Services
Intensive Care Coordination (ICC) in Iowa is a service that provides a series of actions contributing to a patient-centered, high-value, high-quality system of care for individuals with complex needs. ICC services include:
- Comprehensive, ongoing assessment of medical, mental health, and social needs
- Development and implementation of individualized care plans
- Coordination of multiple services across providers and systems
- Monitoring and evaluation of care outcomes
- Advocacy for individuals and families
- Crisis support and intervention
2. Regulations
ICC in Iowa is governed by Iowa Administrative Code (IAC) 441-77.47 for health home services providers and IAC 441-25.21 for regional service system management plans.
3. Licensing or Certification
Providers must be enrolled as Medicaid providers and meet specific qualifications to offer ICC services. No separate license is mentioned, but certification as a health home may be required.
4. Responsible State Agency
The Iowa Department of Human Services (DHS) oversees ICC programs.
5. Application Process
Providers must enroll through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit to become a Medicaid provider for ICC services.
6. Required Documentation
Required documentation likely includes:
- Completed provider enrollment application
- Proof of liability insurance
- Staff qualifications and certifications
- Business registration documents
- Federal Employer Identification Number (EIN)
- Evidence of meeting health home provider standards
7. Timeline for Approval
The exact timeline for approval is not specified in the provided information.
8. Pre-Application Process
There is no specific pre-application process mentioned.
9. Pre-Application Training
While no mandatory pre-application training is mentioned, staff providing ICC services must meet specific qualifications and may require ongoing training.
10. Additional Notes
- ICC services are often provided through health homes or integrated health homes.
- Providers must use an interoperable patient registry and certified electronic health record.
- ICC must be provided in a culturally appropriate manner.
- Services include care transitions, preventive care, and disease management.
- Providers must complete web-based member enrollment and health risk questionnaires.
- ICC may be part of a wraparound approach for children and youth with complex behavioral health needs.
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