Iowa Medicaid Program

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

Medicaid is a program that pays for covered medical and health care costs of people who qualify. The Medicaid program is funded by Federal and state government and is managed by the Iowa Department of Human Services. A wide range of medical and health care services is available through the Medicaid program. These services are covered only if they are medically necessary. Most Medicaid members are covered under one of the managed care plans. Medicaid members must receive services through the provider network of the Managed Care Organizations (MCO) that they are enrolled in. Some services covered by Medicaid do require a small co-payment that the member must pay. 

Administration

Iowa Medicaid Program is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

In order to qualify for this benefit program, you must be a resident of the state of Iowa, a U.S. national, citizen or permanent resident in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. 

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $16,146
2 $21,892
3 $27,637
4 $33,383
5 $39,129
6 $44,874
7 $50,620
8 $56,365

*For households with more than eight people, add $5,746 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

None

Contact:

1-800-972-2017

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