Iowa Health and Wellness Plan


The Iowa Health and Wellness Plan was enacted through bi-partisan legislation to provide comprehensive health care coverage to low income adults. The plan offers coverage to adults age 19-64 with an income up to 133 percent of the Federal Poverty Level ($15,521 per year in 2014). The plan began on January 1, 2014, and currently serves more than 100,000 Iowans.

  • Iowa Wellness Plan: The Iowa Wellness Plan is an Iowa Medicaid program that covers adults ages 19 to 64. Eligible member income is at or below 100 percent of the Federal Poverty Level ($11,490 for individuals or $15,510 for a family of two). Members can choose a provider from the statewide Medicaid provider network and are able to get care from local providers.
     
  • Iowa Marketplace Choice Plan: The Iowa Marketplace Choice Plan covers adults age 19 to 64 with income from 101 percent through 133 percent of the Federal Poverty Level (between $11,491 and $15,282 for individuals or $15,511-$20,628 for a family of two). The Marketplace Choice Plan allows members to get health care coverage through select insurers with plans on the Health Insurance Marketplace. Medicaid pays the premiums of the health plan for the member. Members get care from providers approved by the health plan.

Timeline of Events for the Iowa Health and Wellness Plan

News and Announcements
  • Public Comment Period for Changes to the Iowa Health and Wellness Plan: A public comment period has been announced related to the requested changes to the Iowa Health and Wellness Plan. The Department of Human Services intends to amend the Iowa Wellness Plan State Plan Amendment and amend the Marketplace Choice Plan State Plan Amendment. See the full public notice for details on the amendments. Comments are accepted through December 19, 2014.

  • Dental Wellness Plan Evaluation Design Approval: On September 29, 2014, the Centers for Medicare & Medicaid Services (CMS) approved the evaluation design for the Dental Wellness Plan. Access the approval letter and evaluation design to learn more about the plan.

  • Iowa Wellness Plan Benefits Coverage List.  The Iowa Wellness Plan is an Iowa Medicaid program that covers adults ages 19 to 64.  The Iowa Wellness Plan Benefits Coverage List of covered benefits and excluded codes and arranged by category of service is now available for providers.















On this page, you’ll find all documents related to the Section 1115 Demonstration Waivers authorizing the Iowa Health and Wellness Plan and ongoing implementation and evaluation.
 
Access the most up-to-date informtion on the Iowa Wellness Plan Accountable Care Organizations and the Value Index Score on this page.
 
Provider Information: Toolkit, Patient Manager Agreement, Guide and FAQ

Find the latest information for providers on the Iowa Health and Wellness Plan, including the patient manager agreement and guide.

Archive: Iowa Health and Wellness Plan Weekly Updates
Find archived issues of the Iowa Health and Wellness Plan stakeholder and partner email updates on this page.




Healthy Behaviors Program
Wellness Plan Member Mailer: Complete Both Healthy Behaviors (October 2014)
Wellness Plan Member Mailer: Complete Your HRA (October 2014)
Wellness Plan Member Mailer: Complete Your Wellness Exam (October 2014)
Assess My Health HRA Provider Training Webinar (July 9, 2014)
Healthy Behaviors Provider Toolkit (October 2014)
Healthy Behaviors Wellness Plan Member Materials (May 9, 2014)
Healthy Behaviors Marketplace Choice Plan Member Materials (May 9, 2014)
Healthy Behaviors Program – Rewards White Paper (March 31, 2014)
Health Risk Assessment White Paper (March 2014)

Managed Care and County-Based Enrollment Maps
October Iowa Health and Wellness Plan Enrollment Maps By County (October 31, 2014)
Iowa Wellness Plan Managed Care Map (October 2014)

Iowa Marketplace Choice Plan Changes
Iowa Marketplace Choice Plan Changes Frequently Asked Questions (November 2014)
Iowa Marketplace Choice Plan CoOportunity Member Letter (November 2014)
Iowa Marketplace Choice Plan CoOportunity Member Pharmacy Flyer (Novemer 2014)

Fact Sheets and Frequently Asked Questions
Medicaid Renewal Process for Members Fact Sheet (November 2014)
Medicaid Renewal Process for Enrollment Assisters Fact Sheet (November 2014)
Iowa Health and Wellness Plan Waiver Fact Sheet (January 28, 2014)
Iowa Health and Wellness Plan Outreach and Education Fact Sheet (January 28, 2014)
Iowa Medicaid Managed Care Fact Sheet (November 2014)
Iowa Health and Wellness Plan Implementation Frequently Asked Questions (January 23, 2014)
Iowa Health and Wellness Plan Waiver Approval Frequently Asked Questions (January 3, 2014)

Dental Wellness Plan
Dental Wellness Plan Information Sessions Flyer (March 20, 2014)
Dental Wellness Plan Fact Sheet (January 28, 2014)
Iowa Health and Wellness Plan Accountable Dental Care Plan- Working Draft (October 4, 2013)
Dental Wellness Plan Website

Educational Presentations
Iowa Health and Wellness Plan Overview Presentation (January 21, 2014)
Medically Exempt Training Presentation (April 2014)
Iowa Wellness Plan: Bridge to Transformation (August 14, 2013)

Medically Exempt Materials
Medically Exempt Frequently Asked Questions (April 2014)
Medically Frail/Exempt Provider Referral Form (November 19, 2013)
Medically Frail/Exempt Definition (November 19, 2013)
Iowa Health and Wellness Plan Medically Exempt Toolkit (February 26, 2014)

Iowa Health and Wellness Plan Benefits Documents
Iowa Health and Wellness Plan vs. State Medicaid Plan Medically Exempt Benefit Comparison (November 2014)
Iowa Health and Wellness Plan vs. IowaCare Benefit Comparison (September 25, 2013)
Iowa Health and Wellness Plan Overview (July 2013)