Is Iowa Total Care Medicaid?

Asked by: Trent Bauch  |  Last update: February 11, 2022
Score: 4.2/5 (16 votes)

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

What is Medicaid called in Iowa?

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.

Who is Eligible for Iowa Total Care?

Iowa Total Care will begin July 1, 2019, offering services to children, pregnant women, families with children, elderly, adults with disabilities and children with disabilities. Services will be provided by two (2) Managed Care Organizations (MCOs). Iowa Total Care is one of the MCOs providing services.

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.

Iowa Total Care is ready according to Iowa Medicaid Director

42 related questions found

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.

Is Iowa Medicaid the same as Iowa Total Care?

Access to quality medical services is just one of the many Iowa Medicaid benefits that Iowa Total Care provides to eligible individuals and families in the state. You can view some of the basic health care services that are covered by Iowa Health Link (Medicaid) below or contact us today for more information.

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 my Iowa Medicaid active?

How do I verify if I am currently eligible for Iowa Medicaid? You may contact Iowa Medicaid Member Services by phone or email. The phone number is 1-800-338-8366 or 515-256-4606 (when calling locally in the Des Moines area), Monday through Friday, 8 a.m. to 5 p.m.

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 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.

Do you have to renew Iowa Total Care every year?

We have special help for you and your baby. Contact Iowa Total Care Member Services at our toll-free number 1-833-404-1061 (TTY: 711). Coverage for most Medicaid programs must be renewed every 12 months. When your renewal date is coming up, DHS will send you a letter letting you know to renew.

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.

Is Amerigroup Medicaid?

Amerigroup is a health insurance plan that serves people who receive Medicaid. Members receive the care and services needed to become and stay healthy. During the application process, you will be able to choose a health plan. Learn more about our Medicaid health plans and how to enroll by choosing your state below.

Does Iowa have Medicaid expansion?

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.

How do I switch from Amerigroup to Iowa Total Care?

Call Member Services at 1-833-404-1061 (TTY: 711), if you have questions about transitioning your care.

Does Iowa Total Care require prior authorization?

Iowa Total Care uses prior authorizations to ensure that all care delivered to our members is medically necessary and appropriate based on the member's type and severity of condition. ... Iowa Total Care will process most standard prior authorization requests within five days.

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.

Does Iowa Total Care cover MRI?

Advanced Diagnostic Imaging

Iowa Total Care has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. ... MRI/MRA.

Does Iowa Medicaid cover mental health?

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.

What is the IA health Link program?

IA Health Link, the new Medicaid program in Iowa, means new plans, new services and new choices for you and your family. ... We'll help you get all of your Iowa Medicaid-covered care and services like: A primary care provider (PCP) to manage all your health care needs. Vision care for adults and children.

What is the highest income to qualify for Medicaid?

In 2021, the federal poverty levels (in all states except Alaska and Hawaii, which have higher guidelines) range from $12,880 (for one person) to $44,660 (for eight people). In 2021, the federal poverty level in Alaska ranges from $ $16,090 (for one person) to $55,850 (for eight people).

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.