About Iowa Medicaid
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. This 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.
IA Health Link Coverage Has Begun!
After more than a year of preparation, hard work and unprecedented cooperation among Iowa Medicaid, its stakeholders and federal partners, IA Health Link coverage has begun. Read more .
|News and Announcements
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.
New IA Health Link Informational Video for Members and Providers: Iowa Medicaid has produced a new informational video for members titled, How to Choose a Managed Care Organization that helps members navigate the IA Health Link enrollment process with a Managed Care Organization (MCO). Iowa Medicaid has also put out a similar informational video for providers titled, Provider Education and Participation that helps providers with their MCO enrollment process. The videos are designed to assist both members as well as providers in getting a better understanding of the enrollment process.
New IA Health Link Webinar Videos: Interested in learning more about the IA Health Link Program? Watch the IA Health Link member webinar videos for the latest information on the Medicaid managed care program. Periodic updates will be made to these videos to reflect any changes that happen in the program. This will ensure that the information in the webinar videos are always up-to-date. Access the member webinar videos .
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.
IA Health Link Member-Specific Information Materials
IA Health Link Provider-Specific Information Materials
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