Appealing a Managed Care Organization (MCO) Decision
Iowa Medicaid has switched to Managed Care. Almost everyone who has Medicaid in Iowa is now assigned to a Managed Care Organization. Managed Care Organizations are also called MCOs.
Appealing decisions by the Iowa Department of Health and Human Services
If your application for Medicaid or other help through the Iowa Department of Health and Human Services is denied or services reduced you can file an appeal. The Appeals Section provides an efficient way of ensuring that persons affected by the Department of Health and Human Services' decisions have access to due process of the law. There is no fee or charge for filing an appeal. You may need to seek review of a decision through your managed care organization before filing an appeal with the Iowa Department of Health and Human Services.
Applying for Affordable Health Insurance for Your Children
This gives links and phone numbers to call to get low-cost or free health coverage for your child or teen.
Are Your Legal Affairs in Order?
Putting your legal affairs in order is important for a number of reasons. Some of the more important issues that Iowans, and especially older Iowans, should consider involve powers of attorney, living wills, and estate and Medicaid planning.
Dealing With Medical Debt
It is important to plan for medical expenses. Equally important is knowing how to deal with medical bills when you have no money to pay them.
Do I Have to Sell or Liquidate All of My Assets to Qualify for Medicaid?
There are a number of different Medicaid programs that can assist elderly or disabled Iowans pay medical bills, home health care expenses and nursing home expenses. Most programs require that your total assets or "resources" be below certain levels in order to qualify.
Getting Emergency Medical Care
Hospitals must treat you - even if you don’t have insurance - when you have an emergency condition or are a woman in active labor. Hospitals must treat your medical emergency until you become stable. The hospital may bill you later, but it cannot turn you away from emergency care.
Getting the Health Care Services You Need
Has your insurance company, Medicare or Medicaid denied you help? You don't have to take no for an answer.
Gifts and Qualifying for Medicaid for Nursing Home Care
Medicaid can help elderly or disabled Iowans pay nursing home and home health care expenses. To be eligible, your income and assets must be below certain levels. If you give away money or other assets to anyone other than your spouse, you may be ineligible for Medicaid. In addition, the state may seek to recover the assets you gave away.
Health care for active duty and retired members of the uniformed services
This Web site explains the rules for TRICARE. This is health care for active duty and retired members of the uniformed services (Army, Air Force, Navy, Marine Corps, Coast Guard, Public Health Service, or the National Oceanic & Atmospheric Administration), their families, and survivors.
Home and Community Based Services (HCBS) Programs
Sometimes a person who requires health-related care and assistance with activities of daily living does not need or want to move out of his or her home. Medicaid may be able to provide help for persons with disabilities who can live at home with support.
Indian Health Service
The Federal Health Program for American Indians and Alaska Natives.
Medicaid Payment for Nursing Home Care
Many people rely on Medicaid, also known as Title 19, to pay for their nursing home care. People may generally receive Medicaid payment for their nursing home care if their income is $2,742 or less per month and their nonexempt resources are $2,000 or less.
Medicare Prescription Drug Coverage for People Who Get Medicaid
Medicare provides prescription drug coverage for people who are eligible for Medicare alone, and for those who are eligible for both Medicare and Medicaid. "Dual eligibles" are the group of Medicare eligibles who also qualify for Medicaid.
Repayment of Medicaid under Iowa's Estate Recovery Law
Iowa's Estate Recovery Law requires reimbursing the state from the estate of a person who received benefits under certain Medicaid (Title 19) programs.