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Medicaid Services HCE manages the Surveillance and Utilization Review function—one of 10 functions total—of the Iowa Department of Human Services’ Iowa Medicaid Enterprise. Iowa Medicaid Initiative. Goals. Preserve Medicaid, Reduce the $65 M gap Iowa Medicaid Initiative. Goal: Reduce the Gap. How we got here Iowa Medicaid Enterprise (DHS) Iowa Medicaid Enterprise is an endeavor that unites State staff and "Best of Information on enrolling and using Iowa Medicaid to meet your and your Iowa Medicaid Welcome to the ACS EDI Gateway's Home Page for Iowa Medicaid! The Iowa Medicaid Enterprise (IME) has contracted with a new company to process Medicaid