State Profiles

Iowa

Total Number of Enrollees
669,826

Total Number of Enrollees in Managed Care
616,239

Iowa

Return to main U.S. map page.

The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017

Medicaid Expansion
Yes

Population Description

State Medicaid Waivers

  • Includes premiums of $10 per month for beneficiaries from 101-138% FPL and $5 per month for beneficiaries from 50-100% FPL, beginning in the second year of enrollment. Medically frail beneficiaries are exempt from premiums. Premiums are waived for the first year of enrollment and can be waived in subsequent years by completing specified healthy behavior activities; however, Iowa has determined that it will need additional time during calendar year 2015 to research and develop the healthy behavior incentive program for year two.6 Medicaid eligibility cannot be terminated for non-payment of premiums for beneficiaries at or below 100% FPL. Those from 101-138% FPL can be disenrolled for non-payment of premiums but may re-enroll at any time;
  • Includes co-payments only for non-emergency use of the emergency room, at state plan amounts;
  • Offers additional dental benefits to those who complete periodic dental exams; and
  • Waives non-emergency medical transportation (NEMT) services. The original NEMT waiver applied through December 31, 2014, and extension was conditioned on an evaluation of the waiver’s impact on beneficiary access to care. After review, CMS extended the NEMT waiver through March 31, 2016, and instructed the state to conduct another survey for CMS to compare with the Fall 2014 survey results if the state seeks a further extension of the NEMT waiver. Iowa provides NEMT to beneficiaries who are medically frail and those under age 21.8.

State Medicaid Website

State CHIP Program

Member Health Plans

UnitedHealthcare Community Plan Iowa
 

Total Number of Enrollees
669,826

Total Number of Enrollees in Managed Care
616,239

Iowa

Return to main U.S. map page.

The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017