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Reviewed October 1, 2026

Iowa Medicaid & Iowa Health and Wellness Plan

Iowa Medicaid covers eligible residents through several pathways. The Iowa Health and Wellness Plan is the adult coverage pathway for qualifying people ages 19–64.

Who can apply

HHS determines the appropriate Medicaid category. The Health and Wellness Plan has income and residency rules and is for adults not otherwise eligible for Medicaid or Medicare.

What help is available

Coverage includes medical care, prescriptions, mental health services and dental care. Health and Wellness Plan members may owe contributions after the first year unless applicable healthy-behavior steps are completed.

Documents to prepare

Have family income, existing health-insurance details, and applicants’ Social Security numbers or immigration document numbers available.

How to get started

  1. Apply through the Iowa HHS Services Portal, a local HHS office or a participating health center. Telephone applications: 855-889-7985.

  2. Submit any requested evidence and read the eligibility decision before making plan choices.

After applying

Approved applicants receive Medicaid and enrollment information. Check the assigned medical/dental plan, choice deadline and coverage date. As of October 2026, HHS announces community-engagement requirements for certain adult-plan members beginning by December 1, 2026; read notices for your circumstances.

Website screenshots

These images show the pages captured in August 2026. Website screens and rules may have changed.

The Iowa HHS Services benefits portal sign-in page.
August 2026 reference screenshot.
The Iowa HHS apply-for-Medicaid page.
August 2026 reference screenshot.

Common questions

Is submitting an application the same as selecting a plan?

No. Eligibility is decided first; enrollment information follows.

Can I apply by phone?

Yes: 855-889-7985.

Are the December rules already in effect in October?

The state announces a December 2026 start. Follow dated HHS notices.

Does every Medicaid member use the adult Wellness Plan?

No. Medicaid has several eligibility categories.

Sources and review

Application and program details: Medicaid application, Health and Wellness Plan.

Historical screenshots and background: USA Assistance. Screenshots may show an earlier application interface.

Historical screenshots: source reference.