What is the IA Health Link Program?


Most Medicaid members are enrolled in the IA Health Link managed care program. This program gives you health coverage through a Managed Care Organization (MCO). Some Medicaid members, however, will continue to receive Medicaid coverage through a Fee-for-Service model and will not transition to the IA Health Link program. The Children's Health Insurance Program (CHIP) services will continue to be offered through the Healthy and Well Kids in Iowa program, also known as hawk-i

WHAT IS IA HEALTH LINK?

IA Health Link brings together Physical, behavioral and long term care under one program. Most Medicaid members are enrolled in the IA Health Link managed care program. Some Medicaid members, however, will continue to receive Medicaid coverage through a Fee-for-Service model and will not transition to the IA Health Link program.
 

WILL I STILL RECEIVE IOWA MEDICAID COVERAGE BEFORE I TRANSITION TO AN MCO?

Your benefits will remain the same and you will receive coverage through Iowa Medicaid Fee-for-Service during your transition period. For further information on your benefits, please see the Managed Care Covered Benefits Comparison Grid on the DHS webpage under the 'Resources' tab on the left-hand navigation menu.

To verify when your coverage through a Managed Care Organization (MCO) will begin, please contact Iowa Medicaid Member Services immediately at 1-800-338-8366 or 515-256-4606 (when calling from within the Des Moines area), Monday through Friday, 8 a.m. to 5 p.m. 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.

WHO IS INCLUDED IN THE IA HEALTH LINK PROGRAM? 

Most members who get coverage by Iowa Medicaid will be enrolled in the Managed Care program, and receive coverage through an MCO. The benefits you receive from your selected MCO will depend on the type of Medicaid coverage you qualify for. 
 
Some members may choose to enroll in the Managed Health Care program:
  • Members who are enrolled with the Program of All-Inclusive Care for the Elderly (PACE) program. If you are a member enrolled with PACE, please contact your PACE provider before making any changes to your plan. Your PACE provider will assist you with disenrolling with PACE and enrolling with the IA Health Link Managed Care program.
  • American Indian or Alaskan Native members may also choose to enroll in the Managed Care program. If you are a member who identifies as American Indian or Alaskan Native, contact Iowa Medicaid Member Services at 1-800-338-8366 to learn about enrolling in the IA Health Link Managed Care program.

WHO IS EXCLUDED FROM THE IA HEALTH LINK PROGRAM? 

Members who are not transitioning to the IA Health Link managed care program will remain in Medicaid Fee-for-Service. This includes members who qualify for or receive services from the following Fee-for-Service programs:

  • Health Insurance Premium Payment Program (HIPP) 
  • Medicare Savings Program (MSP) 
  • Qualified Medicare Beneficiary (QMB) 
  • Specified Low-Income Medicare Beneficiary (SLMB) 
  • Three Day Emergency
    Up to 3 days of Medicaid is available to pay for the cost of emergency services for aliens who do not meet citizenship, alien status, or social security number requirements. The emergency services must be provided in a facility such as a hospital, clinic, or office that can provide the required care after the emergency medical condition has occurred.
  • Medically Needy (also known as the spenddown program)
  • Presumptive Eligibility (subject to change once ongoing eligibility is determined)
  • Retroactive Eligibility for Previous Months

Optional Enrollment
  • Program of All-Inclusive Care for the Elderly (PACE) program
  • American Indian or Alaskan Native program (American Indians and Alaskan Natives may choose to enroll in the managed care program. If you are a member who identifies as American Indian or Alaskan Native, contact Iowa Medicaid Member Services at 1-800-338-8366 to learn about enrolling in the IA Health Link Managed Care program).
 

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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.