In Iowa, Medicaid operates under two separate plans: IA Health Link and the Medicaid Fee-for-Service program. The Fee-for-Service program is typically accessed by those with special circumstances, such as medically needy individuals and those with presumptive eligibility. Most Medicaid beneficiaries in Iowa receive coverage under the IA Health Link plan.
The IA Health Link plan is a managed care program that includes case management services, and it’s administered by managed care organizations. Its beneficiaries consist of families with young children, pregnant women, disabled persons and seniors. The plan covers the cost of a variety of health care services such as primary care, rehabilitative services, lab services, hospitalization, mental health services and skilled nursing care. It also pays for necessary medical equipment and prescription medication. Seniors who require financial help with the cost of assisted living may be eligible for additional coverage under one of the state’s Long-Term Support Services options.
To be eligible to participate in IA Health Link, applicants who are aged 65 or older must have a maximum income of $771 per month and no more than $2,000 in countable assets. Couples who are married and applying for benefits together may have a combined income of up to $1,157 per month and $3,000 in countable assets. Although all sources of income are considered, some assets are exempt, including the applicant’s house, car and personal belongings.
Seniors living in Glenwood can apply for Medicaid coverage online or contact the Department of Health Services for assistance at (855) 889-7985.
Elderly Waiver
The Elderly waiver helps seniors pay for the cost of long-term care. The program covers a variety of services for those receiving care at home and in care facilities including adult day care, assistive devices, mental health outreach, skilled nursing care, personal care, nonmedical transportation and respite care. This waiver allows consumer direction in some cases so seniors may be able to pick and choose the services they receive.
To qualify for the Elderly waiver, seniors must be at least 65 years old, legal residents of Iowa and U.S. citizens. They also must be determined by the Iowa Medicaid Enterprise to require a level of care that meets the services provided by the program. Financially, applicants must be eligible for Medicaid. Enrollment for this waiver is capped at 10,674 participants, so there may be a waiting list.
To apply, seniors can contact the Iowa Medicaid Member Services line at (800) 338-8366.