Iowa Medicaid Application Guide: How to Apply for Health Coverage

Iowa Medicaid is a joint federal and state government program that pays for medical care for some low-income and medically needy individuals and families. Members can apply online through the HHS Benefits Portal or with a downloadable paper application form. The program provides comprehensive healthcare coverage including medical services, prescription drugs, and long-term care services for eligible Iowa residents.

Low or no cost health care for Iowans between the ages of 19 and 64. Eligibility is based on household income. For the state of Iowa, adults who are under the age of 65 and have incomes 138% of the federal poverty level (FPL) or lower are eligible for Medicaid. For children under age one, Medicaid eligibility is possible so long as the family doesn't make more than 220% of the FPL. Pregnant women, people with disabilities, and those requiring long-term care may also qualify regardless of age.

Most Medicaid members will work through Iowa Health Link, our managed care program. Dental benefits for most Iowa Medicaid members are provided through our Dental Wellness Plans. Medical, social and supportive services for Iowans with functional, cognitive and other physical or mental health needs. The program covers doctor visits, hospital stays, preventive care, mental health services, and prescription medications.

Applicants should be prepared to provide comprehensive documentation of income, assets, and household composition. It can take up to 45 days to process an application. If you receive RFIs in the mail respond to HHS with the requested information by the given due date to ensure your application is processed. Iowa has estate recovery requirements for certain Medicaid recipients, particularly those over 55 or receiving long-term care services.