Medicaid Programs

Medicaid is a health insurance program based on income. In addition to meeting certain income levels, you need to meet specific eligibility requirements to receive Medicaid coverage. The following are some of these general requirements:

A child under the age of 21

A parent living with a child under the age of 18

A woman who is pregnant

A woman in need of treatment for breast or cervical cancer

A person who is elderly (age 65 or older)

A person who is disabled according to Social Security standards

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

Others may qualify (see list below)

What Services are Available?

Ambulatory Surgical Centers

Behavioral Health Intervention Services (BHIS)

Birth Control and Family Planning

Case Management (Targeted)

Early & Periodic Screening, Diagnosis and Treatment (EPSDT)

Infant and Toddler Services

Emergency Room Care

Eye Exams and Eyeglasses

Habilitation Services - Home and Community-Based Services (HCBS)

Home Health Care

Hospital and Urgent Care

Local or Area Education Services

Maternity Care and Birth Center Services

Medical Equipment and Supplies

Mental Health Services (Psychologists and Social Workers)

Nursing Home Services

Podiatry and Orthopedic Shoes

Prescriptions and Over-the-Counter Drugs

Therapy Services (Occupational, Physical, and Speech)

Tobacco Cessation Services

Non-Emergency Medical Transportation (NEMT)

Other Transportation Services

Where Can I Receive My Services?

Community Mental Health Centers

Federally Qualified Health Centers (FQHCs)

Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID)

Medicare-Certified Skilled Nursing Facilities

Rural Health Clinics

Indian Health Services (IHS), tribes or tribal organizations, or urban Indian organizations (I/T/Us)