Medicaid Plans & Programs

Once approved for Medicaid, a majority of individuals are automatically enrolled with a Managed Care Organization (MCOs, which are entities that are under contract with HHS to provide medical an dental services to Medicaid recipients), unless they qualify for a Fee-for-Service (FFS, where Medicaid pays doctors and healthcare professionals directly) program. 

The date of the individual’s MCO enrollment is the same as the effective date of eligibility.

Back to top

Medicaid

  • Age 65 or older
  • Blind, have a disability
  • Have families with dependent children
  • Pregnant women, children (up to age 21)
  • Children formerly in foster care (up to
    age 26)
  • Adults ages 19-64
  • Individuals with breast and/or cervical cancer or precancerous conditions

Eligibility is based on financial and non-financial criteria, such as income, assets, citizenship, Iowa residency, immigration status and disability when used as a basis for eligibility.

Learn more about Medicaid in Iowa.

Iowa Health Link

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.

Back to top

Iowa Health and Wellness Plan (IHAWP)

  • Individuals ages 19-64.
  • Same eligibility non-financial requirements as Medicaid
  • Income at or below 133% Federal Poverty Level (FPL)
  • Not eligible for Medicaid under the mandatory coverage groups
  • Not entitled to or enrolled in Medicare

There are no charges for health services during a member's first year of enrollment. Beginning in the member's second year of enrollment, small monthly contributions may be required, depending on completion of Healthy Behaviors and family income.

Learn more about the Iowa Health and Wellness Plan.

Back to top

Healthy and Well Kids in Iowa (Hawki)

  • Children under 19 years of age.
  • Income at or below 302% FPL for both Hawki and Hawki Dental only.
  • Premiums are based on family income. No family pays more than $40 per month. Some families pay nothing at all.

Learn more about Hawki.

Back to top

Dental Wellness Plan (DWP)

  • Enrolled adults and children.
  • Coverage is not available for: PACE, Health Insurance Premium Payment (HIPP), Presumptive Eligibility (PE), Persons Eligible only for the Medicare Savings Program (MSP), Medically Needy (MN), Periods of retroactive eligibility, Non-qualified immigrants receiving time-limited coverage for certain emergency medical.

Learn more about Dental Wellness Plan.

Back to top

Family Planning Program (FPP)

  • Limited coverage for family planning-related services for individuals ages 12-54.
  • Income at or below 300% FPL
  • Resident of Iowa, U.S. citizen or qualified non-citizen capable of bearing or fathering children
  • Not currently receiving Medicaid or IHAWP

Learn more about Family Planning Program.

Back to top

Program of All-Inclusive Care For the Elderly (PACE)

  • Age 55 or older
  • Live in select Iowa counties
  • Be certified by state as eligible for nursing home care
  • Live in the community (not a nursing home)
  • Be able to live safely in the community
  • Agree to receive health services exclusively through the PACE organization

Learn more about Program of All-Inclusive Care For the Elderly.

Back to top

Other Plans & Programs

Back to top