Below you will find a list of useful information resources, documents, and links to help you in getting a better understanding of the Hawki program, in determining eligibility, and in helping you through the application.
General Resources
- Comparison of Medicaid Benefits
- Hawki Income Guidelines (Medical and Dental Only)
- Versión Español (2022 edition coming soon / 2022 edición próximamente)
- Hawki MCO Health Plan Comparison
- MCO Hawki member ID cards
- Delta Dental Benefits Summary Sheet for Hawki
- Hawki MCO Enrollment Form
New Member Enrollment Materials
- Welcome letter
- Hawki MCO Enrollment Form
- Hawki MCO Health Plan Comparison
- Hawki Dental only welcome letter
Annual Choice Period Materials
- Hawki Annual Choice Period Letter
- Hawki MCO Enrollment Form
- Hawki MCO Health Plan Comparison
- Hawki Dental-Only Renewal Letter
Other Notifications
- Disenrollment Sample Letter
- Dental-Only Disenrollment Sample Letter
- Reinstatement Sample Letter
- Confirmation of MCO Choice Sample Letter
MCO Member Handbooks
Health Plan / Dental Carrier Websites
Application
- DHS Services Portal
- Application for Health Coverage and Help Paying Costs (Form 470-5170)
- Solicitud de cobertura médica y asistencia para abonar el costo (Form 470-5170S)
Hawki e-News
- Issue 1 | Volume 1 (April 1, 2016)
- Issue 2 | Volume 1 (October 21, 2016)
- Issue 1 | Volume 2 (July 12, 2017)
- Issue 2 | Volume 2 (December 1, 2017)
- Issue 1 | Volume 3 (October 15, 2018)
- Issue 1 | Volume 4 (November 1, 2019)
Outreach Coordinator Resources
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Hawki Member Services (Monday to Friday from 8 a.m. to 5 p.m.) 1-800-257-8563 (Toll Free) Hawki@dhs.state.ia.us For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.
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