Is Iowa an expanded Medicaid State?

Asked by: Arnaldo Kautzer  |  Last update: February 11, 2022
Score: 4.5/5 (24 votes)

Iowa's Medicaid program covers various categories beneficiaries at higher incomes than many other states do, and Iowa expanded Medicaid to low-income adults through the Affordable Care Act (ACA). ... Medicaid expansion in Iowa is called the Iowa Health and Wellness Program.

Which states have not expanded Medicaid?

Increases in Coverage in Total Population (in millions), 2022. Note: Increases are from pre-ARPA policy and are presented for 12 states that have not expanded Medicaid: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming.

What is the cut off for Medicaid in Iowa?

An adult between the ages of 19 and 64 and whose income is at or below 133 percent of the Federal Poverty Level (FPL) A person who is a resident of Iowa and a U.S. citizen.

What is the name of 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, DHS transitioned most Iowa Medicaid members to a managed care program called IA Health Link.

Is Iowa Total Care Medicaid?

Iowa Total Care's Medicaid plans offers comprehensive health care benefits and services that suit the needs of families and individuals throughout Iowa.

Optional Medicaid Expansion: Considerations Facing the States

31 related questions found

Can you use Iowa Medicaid in other states?

Q. Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.

Is Iowa Total Care Free?

No. There is no cost to enroll in Iowa Total Care. Some members may pay minimal copayments for doctor visits, emergency room care and prescriptions.

Is Iowa health and wellness the same as Medicaid?

The Iowa Health and Wellness program is a part of IA Medicaid. The Health and Wellness plan provides slightly fewer benefits than the regular state Medicaid program and is only for people between the ages of 19 and 64 who are not pregnant and do not earn more than 133% of the Federal Poverty Level.

Can I get Medicaid if I own a house?

It is possible to qualify for Medicaid if you own a home, but a lien can be placed on the home if it is in your direct personal possession at the time of your passing. To prevent this, you could give the home to loved ones, but you have to act well in advance so you don't violate the five-year look back rule.

Do I qualify for Iowa Total Care?

Call our toll-free Provider Services number at 833-404-1061 from any touch-tone phone and follow the appropriate menu options to reach our automated member eligibility-verification system 24 hours a day. The automated system will prompt you to enter the member Medicaid ID and the month of service to check eligibility.

Why would states not expand Medicaid?

Today, twelve states have still not expanded Medicaid. ... They're in what's known as the "coverage gap" — they don't qualify for Medicaid in their state, and make too little money to be eligible for subsidized health plans on the Affordable Care Act insurance exchanges.

Are all states required to expand Medicaid?

The U.S. Supreme Court later ruled that the Medicaid expansion is voluntary with states. As a result, some states haven't expanded their Medicaid programs.

What is a Medicaid expansion state?

The Affordable Care Act's (ACA) Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($17,774 for an individual in 2021) and provided states with an enhanced federal matching rate (FMAP) for their expansion populations.

What Iowa Medicaid covers?

Eligibility is based on household income. Coverage plan benefits for all Iowa Health and Wellness Plan members include doctor visits, prescription drug coverage, dental care, preventive health services, emergency care, mental health services, hospitalizations, and more.

Does Medicaid cover ambulance in Iowa?

Medicaid covers non-emergency ambulance services with a statement by a doctor that the service is required.

Does Iowa Medicaid cover eye exams and glasses?

One complete eye exam and one pair of glasses are covered for members 21 years and older each year.

Is Iowa Total Care the same as Amerigroup?

1. Today, Iowa Total Care and Amerigroup are the remaining insurance carriers providing Medicaid coverage in the state. Amerigroup provided coverage to 384,460 Iowans as of Nov. 1.

Is Iowa Total Care the same as Hawki?

Iowa offers Hawki health coverage for uninsured children of working families. ... These are the MCOs or health plans you can choose from: Amerigroup Iowa, Inc. Iowa Total Care.

What are the income guidelines for Iowa Total Care?

To be eligible for the Iowa Health and Wellness Plan, you must:
  • Be an adult age 19 to 64.
  • Have an income that does not exceed 133% of the Federal Poverty Level. Approximately $17,130 for an individual. ...
  • Live in Iowa and be a U.S. citizen.
  • Not be otherwise eligible for Medicaid or Medicare.

What's the difference between Medicaid and Medicare?

Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. ... They will work together to provide you with health coverage and lower your costs.

Can I use my Medicare in a different state?

If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.