In July 2025, the federal Working Families Tax Cut (WFTC) law was enacted, introducing federal work requirements called ‘community engagement.’ Iowa will adjust its implementation of work requirements to align with this federal law, which differs slightly from the state legislation.
By December 1, 2026, certain Iowa Health and Wellness Plan members must meet monthly requirements to enroll and maintain coverage.
For questions on who qualifies for IHAWP, call Medicaid Member Services toll-free at 1-800-338-8366 or email IMEmember@hhs.iowa.gov
Combination: A mix of the activities listed below totaling 80+ hours per month:
Work: Paid employment for 80+ hours per month or earn at least $580 per month (based on federal minimum wage)*
*Seasonal Workers: Income is averaged over six months
Job Training: Enroll in a qualifying job training or work program for 80+ hours per month.
Education: Attend a college or career/technical education program at least half-time.
Community Service: Volunteer work for 80+ hours per month
Applies to most adult IHAWP members aged 19–64, unless specifically exempted. See the exempted populations below:
American Indians/Alaska Natives
Those under 19 or over 64
Medically certified as unable to work
Pregnant/postpartum women
Caregivers of children under 14 or caring for dependents with serious conditions
Enrolled in substance-use disorder treatment
Unemployment-benefit recipients fulfilling their program obligations
Participants in SNAP or FIP work programs
Veterans rated totally disabled
Participants can meet the community engagement requirements by completing approved volunteer hours. Volunteer Iowa’s Get Connected platform provides an easy way to find and sign up for local volunteer opportunities that qualify toward these requirements.
