About Iowa Medicaid



IMPORTANT UPDATE--TEMPORARY SUSPENSION OF MCO CHOICE

AmeriHealth Caritas Iowa, Inc. is withdrawing from the IA Health Link managed care program effective November 30, 2017. AmeriHealth Caritas members have been assigned to UnitedHealthcare. The department has put in place a temporary suspension of Managed Care Organization (MCO) choice.
 
Previously the Department notified members they would be able to choose Amerigroup Iowa. Due to concerns with capacity, Amerigroup Iowa is not accepting any additional members at this time. This also includes all new IA Health Link members. In the future members will be able to choose from multiple MCOs. Members will be notified when that choice is available. 
 
AmeriHealth Caritas’ members will transition to UnitedHealthcare effective December 1, 2017. Learn more by reading the sample member letter, the Press Release and the FAQs below.   
 

FAQ for Members

FAQ for Providers

Updated information will be posted as it is available. Please check back regularly.

 

The Iowa Medicaid Enterprise (IME) is the division of the Iowa Department of Human Services (DHS) that administers the Iowa Medicaid program. On April 1, 2016, the DHS transitioned most Iowa Medicaid members to a managed care program called IA Health Link. Most existing Medicaid members were enrolled in IA Health Link on April 1, 2016, and most new members who become eligible after April 1, 2016, will also be enrolled in IA Health Link. Some Medicaid members will continue to be served through Medicaid Fee-for-Service.

The IA Health Link program is administered by three contracted Managed Care Organizations (MCOs) which provide members with comprehensive health care services, including physical, behavioral and long-term care services and support. The MCOs have a comprehensive network of health care providers that ensures quality care to all Medicaid members. For more information regarding the Iowa Medicaid transition to managed care, please read the IA Health Link Frequently Asked Questions. You will also find more information regarding the managed care transition on the Medicaid Modernization web page.

 

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News and Announcements
  • New Medicaid Director Appointed to DHS: The Iowa Department of Human Services (DHS) announced Friday that Michael Randol has been appointed director of the Iowa Medicaid Enterprise (IME). Read the press release

  • Work  Process Flow  Charts for Various Medicaid Programs: Presented below are flow charts that outline different work flows that illustrate various policies and processes for various Medicaid programs.

  • Your Guide to Medicaid Fee-for-Service (FFS): The Iowa Medicaid Enterprise (IME) has released a new informational booklet that provides the latest information about the three Iowa Medicaid coverage groups and corresponding programs: IA Health Link, Medicaid Fee-for-Service (FFS), and Healthy and Well Kids in Iowa (hawk-i). Although the booklet provides information on all the IME coverage programs, if focuses on providing information on the Medicaid FFS programs. Access the new FFS Guide(Version Español)

  • Managed Care Covered Benefits Comparison Grid: The Iowa Medicaid Enterprise (IME) has developed a comparison document which provides information on basic required benefits for Medicaid, Iowa Health and Wellness Plan, hawk-i and the Iowa Family Planning Network. Access the comparison grid.

  • Questions on Medicaid and Applying for Health Care Coverage: If you’re looking for information about health care coverage options and how to apply for Medicaid, call the Department of Human Services Contact Center toll-free at 1-855-889-7985, Monday-Friday, 7:00 a.m.- 6:00 p.m.

 

 

 


Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-338-8366 (Toll Free) 
515-256-4606 (Des Moines Area)
515-725-1351 (Fax)
 
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.
 

 

 


IMPORTANT UPDATE

AmeriHealth Caritas Iowa Inc. is withdrawing from the IA Health Link managed care program. AmeriHealth Caritas will withdraw from the program effective Nov. 30, 2017. AmeriHealth Caritas members' coverage with their new MCO will begin on December 1, 2017. They should watch their mail for more information which will arrive soon. Learn more by reading the sample member letter.

For more information read the Press Release and the Stakeholder Questions and Answers (Q&A).

Updated information will be posted as it is available. Please check back regularly.