Iowa Department Of Human Services Medicaid


Apply & Enroll In Iowa Medicaid

Provider IA Health Link: Education and Participation

Iowa Medicaid offers health insurance for children, pregnant women, families with children, elderly, and adults and children with disabilities.

If you think you might be eligible for Iowa Medicaid member services, you can apply for Medicaid Services with the Iowa Department of Human Services . When you apply for Medicaid with Iowa DHS, you can select Iowa Total Care as your health plan.

You can apply for Medicaid Services and enroll in a health plan provided by Iowa Total Care a few ways. Learn more below.

Advisory Group National Alliance For Medicaid In Education Inc

The National Alliance for Medicaid in Education, Inc. represents the nation’s Medicaid and Education agency staff, along with local education agency administrators, with programmatic responsibility for administering Medicaid’s health related service programs in schools. The primary purposes of NAME are to provide an information network among the states on issues pertinent to the Medicaid programs in schools and to act as a focal point of communication between the states. Iowa is well represented in the NAME organization.

Iowa Medicaid Eligibility And Enrollment

  • Find out if you are eligible for Medicaid in Iowa. Learn how Medicaid works and how to apply for benefits in Iowa and how it differs from other states.

Iowa Medicaid provides a variety of health care and medical support services to low-income people who are blind, aged 65 and older, pregnant or disabled. The Iowa Department of Human Services manages the Medicaid program and administers benefits to those who qualify.

A wide range of medically necessary services are available under one of the states managed health care plans. Medicaid members receive their health care services through a provider network of Managed Care Organizations that they participate in. There are a few treatments for which beneficiaries must pay a small co-payment at time of services.

A Managed Care Organization is a health plan that administers your care and coordinates your coverage. Iowa Medicaid has two MCOs that you can choose: Amerigroup Iowa, Inc., and Iowa Total Care.

Also Check: Does Medicaid Cover Therapy In Michigan

Iowa Department Of Human Services Addresses Barriers To Care For Children With Autism On Medicaid

Autism Speaks, along with other partners and advocates, has been working to reduce barriers to care for Iowa children with autism covered by Medicaid. Thanks to these joint advocacy efforts, the Iowa Department of Human Services will be taking action to ensure equitable access to care for children with autism.

In Iowa, children with autism who are on Medicaid are eligible for therapies including applied behavior analysis . This is in accordance with Medicaid’s Early Periodic Screening, Diagnostic, and Treatment benefit which states that children under the age of 21 are entitled to any treatment, procedure or service that is medically necessary to address health conditions of a child.

Unfortunately, the state of Iowa currently places a burdensome requirement upon providers of ABA services. This unnecessary requirement is related to credentials under Medicaid that behavior technicians must possess, which are not required within Iowas private insurance autism regulation. This is causing autistic children on Medicaid and their families to sometimes have reduced access to this medically-necessary treatment.

What Does Iowa Medicaid Cover

Iowa Medicaid Primary Care Physician Certification and ...

Iowa Medicaid is designed with three main coverage groups: IA Health Link, Medicaid Fee-for-Service and HAWKI. Most Iowa Medicaid beneficiaries participate in the IA Health Link managed care program, where they access medical services from a large network of providers of their choice across the state.

The Iowa Health and Wellness Plan is offered under the IA Health Link program and provides comprehensive medical care at low or no cost to residents between the ages of 19 and 64. Eligibility is based on household income. All Iowa Health and Wellness Plan members receive medical care for free if they choose to participate in the Healthy Behaviors program. Some beneficiaries are served through the Medicaid Fee-for-Service system where their medical care providers are paid separately for each treatment, such as a doctors visit, test or procedure.

Children in Iowa receive health care from the Childrens Health Insurance Program also known as the Healthy and Well Kids in Iowa Program . Iowa provides comprehensive health coverage for uninsured children of working families who cannot afford medically necessary care.

No family in Iowa pays more than $40 a month for the service, and many families pay zero. Most of the applicants who qualify for HAWKI program in Iowa are in one of these groups:

  • Under age 19

Read Also: Can I Change Medicaid Plan

Private Duty Health Care Agency Nurse Guidance

If your district has a student who receives services at school from a home health private health care agency nurse, as an extension of the services provided in the home, it is recommended that the students Individualized Education Program team: review the necessity of nurse level services if nurse level services are found necessary, review the necessity of using a private health care agency nurse instead of an employee nurse and review Iowa Department of Human Services Informational Letter 35. The letter states that Schools may choose to contract with health care agencies to provide the needed services. Contracted services are the responsibility of the school and the contracted providers should bill the school and not Medicaid for services written in the students IEP. While the IEP might order nursing services, the school is not obligated to use the private duty nursing agency that provides services in the students home before and/or after school. In addition, an IEP might require health paraprofessional services supervised by the school nurse if private duty nursing services are not medically necessary. If rejected by the IEP team, the private duty nursing agency cannot fail to provide services at the other authorized times of day. The titles below are tools your district might use to determine the necessity of nurse level services and to provide guidelines for private agency nurses.

Iowa Department Of Human Services Johnson County Office

Those most common for older adults: Elderly Waiver provides services for in home care/nursing level care and for skilled nursing care. The following services are available through the Elderly Waiver: Adult Day Care Assistive Technology Case Management Chore Services Consumer Directed Care Emergency Response Home and Vehicle Modification Home Delivered Meals Home Health Aide Homemaker Services Mental Health Outreach Nursing Care Nutrition Counseling Respite Senior Companions Transportation Food Assistance More information: Medicaid is a health care insurance program for low-income persons. Elder Abuse: To report suspected dependent adult abuse call: 1-800-362-2178. If the abuse is in a facility call 1-877-686-0027. Other Programs Available: Child Care Assistance Family Investment Program

Also Check: Does Medicaid Cover Weight Loss Pills

Iowa Department Of Human Services

The Iowa Department of Human Services provides services for:

  • Low income individuals and families
  • Children
  • People with addictions
  • People with physical and developmental disabilities

Go to the website: to search for the wide range of services provided, including: programs dealing with cash assistance, child care assistance, food assistance, and healthcare coverage for children, elderly and people with disabilities.

There are many, many programs and we encourage you to

  • access them and
  • see if you can find a friend/fellow worker to help guide you through the system.
  • It can be frustrating to deal with a bureaucracy that operates so many different government programs. There will be a lot of new words, and a lot of acronyms, , and it can be confusing.

    Vasquez V Iowa Department Of Human Services

    Member IA Health Link: How to Choose A Managed Care Organization

    On May 31st, 2019, the ACLU of Iowa and National ACLU LGBT and HIV Project filed a lawsuit to block implementation of an Iowa law that was recently passed to restore the ban on Medicaid coverage for essential, gender-affirming surgery to transgender Iowans that the Iowa Supreme recently struck down.

    We prevailed in Good v. Iowa Dept. of Human Services in our challenge to Iowas ban on providing Medicaid coverage to transgender Iowans who need gender affirming surgery. However, after winning that case under the Iowa Civil Rights Act , the Iowa legislature amended that Act to take away protections for transgender people from the very kind of discrimination in access to public health care the Iowa Supreme Court had found to violate that statute one month before. We filed Covington v. Reynolds in 2019, to appeal the constitutionality of that amendment, but the Iowa Supreme Court decided that we would have to exhaust administrative appeals before the Iowa Department of Human Services before we could challenge the denial of coverage to Mika Covington and Aiden Vasquez. We did so asserting Iowa constitutional, ICRA, and other claims — and then filed this appeal of the denial of coverage for Mr. Vasquezs surgery in the district court on April 22, 2021.

    Also Check: How Much Money Disqualifies You For Medicaid

    Who Receives Medicaid

    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
    • 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
    • A person who is a resident of Iowa and a U.S. citizen
    • Others may qualify


    What We Do

    Our mission is to help individuals and families achieve safe, stable, self-sufficient, and healthy lives, thereby contributing to the economic growth of the state. We do this by keeping a customer focus, striving for excellence, sound stewardship of state resources, maximizing the use of federal funding and leveraging opportunities and by working with our public and private partners to achieve results.

    Also Check: Apply For Sc Medicaid Online

    Who We Are

    The Iowa Department of Human Services provide services for adoption, foster care, children and family guidance, child care, child support and recovery, civil commitment for sexual offenders, diversion programs, family investment programs, food assistance, health insurance premium payment, healthy and well kids program, juvenile facilities, medical assistance, mental health and developmental disabilities.


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