Iowa Medicaid Eligibility Requirements

This page provides general guidelines for the Iowa Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Iowa Department of Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Iowa Medicaid office.


Iowa Medicaid Overview

Medicaid is for eligible persons who need help getting care and paying medical bills.


Iowa Medicaid Eligibility Requirements - Non Income

Medicaid recipients must be U.S. citizens or legal aliens and live in Iowa. Undocumented immigrants are eligible too, but only for emergency Medicaid.


Documents Needed For Iowa Medicaid Application

  • Proof of identification
  • Proof you are a U.S. Citizen or national
  • Proof of Social Security Number or that you have applied for one
  • Proof of any health insurance premium paid
  • Proof of income
  • Proof of current living address in Iowa
  • Proof of bank accounts, stock, bonds, etc.

Iowa Medicaid Benefits

For regular Medicaid beneficiaries: It offers inpatient and outpatient hospital services, physician services, medical and surgical dental services, nursing facility services for persons aged 21+, family planning services, nurse/midwife services, chiropractors, podiatrists, optometrists, psychologists, dental services, physical therapy, therapies for speech hearing and language disorders, occupational therapy, prescribed drugs, prosthetic devices, vision, mental health, hospice care and more.

For undocumented immigrants: Up to 3 days of Medicaid is available to pay for the cost of emergency services for aliens who do not meet citizenship, alien status, or social security number requirements. The emergency services must be provided in a facility such as a hospital, clinic, or office that can provide the required care after the emergency medical condition has occurred.


Iowa Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Iowa Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 375%
Age 1-5: 167%
Age 6-18: 167%
 302% (1-18) Medicaid: 375%
CHIP: N/A		 133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,647
Age 1-5: $1,624
Age 6-18: $1,624
 $2,937 (1-18) Medicaid: N/A
CHIP: N/A		 $1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,916
Age 1-5: $2,189
Age 6-18: $2,189
 $3,959 (1-18) Medicaid: $4,916
CHIP: N/A		 $1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $6,184
Age 1-5: $2,754
Age 6-18: $2,754
 $4,890 (1-18) Medicaid: $6,184
CHIP: N/A		 $2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $7,453
Age 1-5: $3,319
Age 6-18: $3,319
 $6,002 (1-18) Medicaid: $7,453
CHIP: N/A		 $2,643 $2,643

Medicaid Eligibility

State Medicaid Office

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