Topics:

Medicaid Program
Back to top

Most Iowa Medicaid members are enrolled in the Iowa Health Link managed care program. This program gives you health coverage through a Managed Care Organization (MCO) that you get to choose.

Iowa Health Link brings together physical, behavioral, and long term care under one program. Most Medicaid members are enrolled in the Iowa Health Link managed care program. Some Medicaid members, however, receive Medicaid coverage through a Fee-for-Service model.

Back to top

How it Works

Once a member has been deemed eligible for Medicaid, they will be automatically assigned to a MCO. Members will be able to receive services from this MCO immediately.

Members will have 90 days from their initial enrollment to change MCOs for any reason. If they don't make a choice, they will remain with the MCO assigned to them.

Some members may choose to enroll in the managed care program:

  • Program of All-Inclusive Care for the Elderly (PACE) If you are a member enrolled with PACE, please contact your PACE provider before making any changes to your plan. Your PACE provider will assist you with disenrolling with PACE and enrolling with the Iowa Health Link managed care program.
  • American Indian or Alaskan Native members may also choose to enroll in the Managed Care program. If you are a member who identifies as American Indian or Alaskan Native, contact Iowa Medicaid Member Services at 1-800-338-8366 to learn about enrolling in the Iowa Health Link Managed Care program.

Members who are not transitioning to the Iowa Health Link managed care program will remain in Medicaid Fee-for-Service.

Back to top

Changing Your MCO or Dental Carrier

Members can change their MCO or dental carrier once every 12 months during their Open Choice period. If a member wants to change their plan when the Open Choice period is closed, they must have a reason of Good Cause. 

MCO Member-Specific Contact Information

Please contact your MCO or dental carrier's Member Services department:

Dental Carrier Member Services Contact Information

Back to top

Appeals & Grievances

If your issue has not been resolved following the decision of your grievance, you may call Iowa Medicaid Member Services at 1-800-338-8366 or locally in the Des Moines area at 515-256-4606, Monday through Friday, from 8 a.m. to 5 p.m. 

The final decision for disenrollment will be determined by the Department of Health and Human Services (HHS).

Back to top