Medicaid

ASK an Expert: Medicaid Unwind

Watch National Centers for Medicaid and Medicare Services (CMS) partners to learn about the Medicaid Unwind and the specifics to Iowa. Viewers will learn about the Medicaid Unwind, what needs to be done to have continuing Medicaid coverage, and information to help you understand your options if you are no longer eligible for Medicaid and CHIP.

Watch the ASK an Expert Webinar

Iowa Medicaid

Use this link to learn about all of Iowa Medicaid's programs, services and how to apply for them.

Learn more from Iowa HHS

Medicaid Programs

Use this link to learn about all of the Iowa Medicaid Programs, Services, Home and Community Based Waivers, and how to apply.

Learn more from Iowa HHS

Medicaid Member Services

If you are having an issue with your care or services, need help filling out an application or have a question related to your health coverage, member services can help you.

Learn more from Iowa HHS

Medicaid for Kids with Special Needs

MKSN is a program that helps pay medical bills for children with special needs due to a disability. To find out if your child is eligible for MKSN, you must fill out a Medicaid application and send it to your local Department of Human Services (DHS) office. Find out if MKSN is right for your family.

Learn more from Iowa HHS

How to Apply for a HCBS Waiver in Iowa

Home and Community Based Services (HCBS) are for people with disabilities and older Iowans who need services to allow them to stay in their homes and community instead of going to an institution. Iowa currently has seven HCBS waivers in the waiver program. These waivers provide service funding and individualized support to allow eligible members to remain in their own homes or communities.

View the ASK Resource Center PDF

Application for Health Coverage and HCBS Waiver

This is the printable paper application for the HCBS Waiver. Helpful Hint: on page 17 you can check the box for HCBS waivers. It has also been recommended to write which waiver(s) you're applying for at the top of the front page to help get it processed.

Learn more from Iowa HHS

FAQ from Families: Waiver Services in Iowa

These are common questions from families about applying for and utilizing HCBS waiver services. When accessing a Medicaid HCBS waiver an individual will be assigned either a Managed Care Organization (MCO) or Fee for Service (FFS). Most individuals will be covered by an MCO.

Read the ASK Resource PDF

ASK an Expert: Home and Community Based Services Waiver Programs FAQ Webinar

Join Alicia, Family Support Specialist as she discusses the most commonly asked questions regarding Iowa's HCBS Waiver Program.

Watch the ASK an Expert Webinar

Iowa Medicaid Provider Search

This tool on the DHS Website can help you find a Medicaid Provider by specialty, type and location.

Learn more from Iowa HHS

Medicaid Member Services

Member Services is who Iowa Medicaid members contact if they have a problem with their care or services, need assistance filling out an application or have a question related to their health coverage.

Learn more from Iowa HHS

Iowa Health Link Frequently Asked Questions (FAQs)

The Frequently Asked Questions (FAQs) are updated regularly to reflect the latest questions from members and providers. Check this webpage regularly for the most up-to-date information on the Iowa Health Link managed care program.

Learn more from Iowa HHS

ASK an Expert: Iowa Medicaid Q & A with the Director

Watch Director Matney discuss state updates and a do question and answer session about Iowa Medicaid. You will learn about the outcomes and recommendations from the Iowa Waiver Services Survey, explore questions and answers from families around Medicaid & Waiver services and supports, and gain knowledge on how to engage in the conversation about Medicaid changes.

Watch the ASK an Expert Webinar

How to Appeal

Learn how to appeal an HHS Decision, what to expect after the first appeal is filed, how to prepare for your appeal hearing, and what to do if you disagree with the decision.

Learn more from Iowa HHS

Appeals

Iowa HHS Appeals provides fair, courteous and timely adjudicative services. Administrative hearings are legal proceedings similar to a non-jury trial in a court of law. An impartial administrative law judge, who has training and experience in legal matters, presides over the hearing. Please Note: If you have an MCO, you need to start your appeal process with your specific MCO.

Learn more from Iowa HHS

ASK an Expert: Iowa Medicaid - Notice of Decision and Appeal Process

Learn about the process for appealing a decision from a Managed Care Organization (MCO) or Fee For Service (FFS) through Iowa Medicaid. Webinar participants will learn about a Notice Of Decision and where can it be found.

Watch the ASK an Expert Webinar

Medicaid’s Pathways for Issue Resolutions

Use this document to find the appropriate contacts to use when you need help resolving an issue from member issues, contacting the ombudsman and figuring out who your case manager is.

Learn more from Iowa Medicaid

What the Iowa Office of Ombudsman Can Do

The Ombudsman can investigate complaints against agencies or officials of state and local governments in Iowa. They work with agencies to attempt to rectify problems when their investigation finds that a mistake, arbitrary, or illegal action has taken place.

Learn more from the Iowa Office of Ombudsman

Medicaid Reference Guide

The Iowa Medicaid Reference Guide provides understandable information about the program to Iowans.

Learn more from Iowa HHS