Who Is Eligible for Iowa Medicaid?


Medicaid provides healthcare coverage to millions of low-income Americans across the country. Although Medicaid is a federal program, states are responsible for administering it. Iowa sets the eligibility guidelines and income limits for the state's Medicaid program. You can apply for Medicaid through the Iowa Department of Human Services online portal or by visiting an office in person.

General Eligibility

You may qualify for Medicaid if you're a U.S. citizen or legal alien and a resident of Iowa. Certain individuals are eligible for Medicaid, including:

Income Limits

An applicant's gross household income must fall below a certain percentage of the federal poverty level to qualify for Medicaid. Income can be unearned, such as child support or spousal support, or earned income from wages.

  • Infants up to age 1 and pregnant women -- The household income can't exceed 375 percent of the FPL, as of publication.
  • Children ages 1 to 18- The household income can't exceed 167 percent of the FPL.
  • Parents of children under 18, Children 18 to 21, Adults over 65 and disabled inviduals - The household income is limited to 133 percent of the FPL.

Healthy and Well Kids in Iowa

Healthy and Well Kids in Iowa, or HAWK-I, provides free or low cost healthcare to children with a family income too high for Medicaid. The household's income must be no more than 302 percent of the FPL to qualify.

Health and Wellness Plan

Iowa also offers health care assistance to adults ages 19 to 64 years of age with an income no more than 133 percent of the federal poverty level. If the adult's income is 100 percent of FPL, he can receive Medicaid through the Iowa Wellness Plan. If the adult's income is between 101 and 133 percent of the FPL, Medicaid pays the premiums for the Iowa Marketplace Choice Plan.

Medically Needy

If your income is too high to qualify for Medicaid, you may still be eligible for help with your medical bills if the bills are high. In Iowa, "medically needy" is when your medical bills take up a significant portion of your income. If you qualify, you'll have to pay a portion of the bills and Medicaid will pay the rest.


You'll need to provide certain documentation to verify your identity and income. Documents needed include:

  • Social Security cards 
  • Pay stubs
  • W-2 forms
  • Medical bills (if applying for Medically Needy)

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