Medicaid is a health insurance program based on income. In addition to meeting certain income levels, you need to meet specific eligibility requirements to receive Medicaid coverage. The following are some of these general requirements:
- A child under the age of 21
- A parent living with a child under the age of 18
- A woman who is pregnant
- A woman in need of treatment for breast or cervical cancer
- A person who is elderly (age 65 or older)
- A person who is disabled according to Social Security standards
- An adult between the ages of 19 and 64 and whose income is at or below 133 percent of the Federal Poverty Level (FPL)
- A person who is a resident of Iowa and a U.S. citizen
- Others may qualify (see list below)
HOW TO APPLY FOR MEDICAID:
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1. IA Health Link |
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Most Iowa Medicaid members are enrolled in the IA Health Link managed care program, These members will get health coverage from a Managed Care Organization (MCO) they get to choose. Find more information on the IA Health Link webpage. Some members will continue to receive Medicaid Fee-for-Service and will not transition to the IA Health Link program (see Fee-for-Service below). IA Health Link includes: |
a. Iowa Health and Wellness Plan |
e. Medicare Assistance (Dual-Eligibility) |
f. Family Planning Program (FPP) |
2. Medicaid Fee-for-Service |
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Members who are not transitioning to the IA Health Link managed care program will remain in Medicaid Fee-for-Service. This includes members who qualify for or receive services from the following Fee-for-Service programs:
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c. Three Day Emergency |
d. Medically Needy (also known as the spenddown program) |
e. Presumptive Eligibility (subject to change once ongoing eligibility is determined) |
f. Retroactive Eligibility for Previous Months |
g. Program of All-Inclusive Care for the Elderly (PACE) program |
h. American Indian or Alaskan Native program |
3. Healthy and Well Kids in Iowa (Hawki) |
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The Children’s Health Insurance Program (CHIP) services will continue to be available through the Healthy and Well Kids in Iowa program, also known as Hawki. For more information go to the Find more information on the Hawki webpage. |
Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.) 1-800-338-8366 (Toll Free) 515-256-4606 (Des Moines Area) 515-725-1351 (Fax) 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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