IMPORTANT:
Not everyone who gets Medicaid is eligible for all services. Ask your health care provider or call Member Services if you have questions.
How to Apply for Medicaid:
- To apply for Medicaid coverage, visit the Apply for Services webpage.
- You may also apply for Medicaid coverage through the HHS Benefits Portal.
About Medicaid Programs
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)
- Ambulance
- Ambulatory Surgical Centers
- Behavioral Health Intervention Services (BHIS)
- Birth Control and Family Planning
- Case Management (Targeted)
- Children's Services
- Early & Periodic Screening, Diagnosis and Treatment (EPSDT)
- Infant and Toddler Services
- Chiropractic Services
- Dental Services
- Doctor Visits
- Emergency Room Care
- Eye Exams and Eyeglasses
- Habilitation Services - Home and Community-Based Services (HCBS)
- Hearing Services
- Home Health Care
- Hospice Care
- Hospital and Urgent Care
- Labs and X-rays
- Local or Area Education Services
- Maternity Care and Birth Center Services
- Medical Equipment and Supplies
- Mental Health Services (Psychologists and Social Workers)
- Midwife Services
- Nursing Home Services
- Podiatry and Orthopedic Shoes
- Prescriptions and Over-the-Counter Drugs
- Therapy Services (Occupational, Physical, and Speech)
- Tobacco Cessation Services
- Transportation Services
- Non-Emergency Medical Transportation (NEMT)
- Other Transportation Services
- Clinics
- Community Mental Health Centers
- Federally Qualified Health Centers (FQHCs)
- Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID)
- Medicare-Certified Skilled Nursing Facilities
- Rural Health Clinics
- Indian Health Services (IHS), tribes or tribal organizations, or urban Indian organizations (I/T/Us)
Long-Term Services and Supports (LTSS)
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Community-Based Neurobehavioral Rehabilitation
CRNS
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Inpatient Facilities
Residential Care Facilities (RCFs) and Intermediate Care Facilities for people with Intellectual Disabilities (ICF/IDs)
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Habilitation Services
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Home Health Services
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Medicaid Trusts Program
Medical Assistance Special Needs Trusts, Medical Assistance Pooled Trusts and Medical Assistance Income Trusts
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Nursing and Skilled Nursing Facilities
Nursing and Skilled Nursing Facilities (NFs and SNFs)
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Personal Cares Program
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Targeted Case Management (TCM)
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Money Follows the Person (MFP)
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Provider Trainings
Home and Community-Based Services (HCBS)
Other Iowa Health Link Programs
Fee-for-Service Programs
Programs for Children
Dental Programs
Transportation
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For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking.
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