Iowa Medicaid: Iowa Health and Wellness Plan (IHAWP)

Iowa Health and Wellness Plan (IHAWP) is a Medicaid program for low-income residents in Iowa, providing comprehensive health coverage, including primary care, hospital services, and prescription drugs.

There are no out-of-pocket costs for the first year and depending on family income, a small monthly contribution might be required on the subsequent years.

To continue receiving free coverage after the first year, you must complete one of two wellness exams — either a health or dental exam — and complete a health-risk assessment, collectively known as Healthy Behaviors.

FAQ

What is the income limit for Medicaid in Iowa?

As Iowa expands Medicaid, health coverage under the Iowa Health and Wellness Plan (IHAWP) is now available to eligible adults age 19—64 with incomes up to 138% of the Federal Poverty Level.

IHAWP also extends coverage to pregnant women up to 220% of the federal poverty. That’s about $5,009 per month for a family of three.

What are the new Medicaid rules in Iowa?

Iowa’s proposed Medicaid work requirements would mandate that most adults ages 19—64 on the Iowa Health and Wellness Plan work or volunteer at least 80 hours each month to keep their coverage.¹

Under the federal framework, full compliance checks for most “able-bodied” adult recipients are scheduled to begin by January 1, 2027.

Starting in January 2026, non-exempt members in certain counties may need to meet monthly “community engagement” requirements to maintain coverage.²

How do I apply for Medicaid in Iowa?

Call the Iowa Department of Health and Human Services (DHHS) at (800) 338-8366 for more information. If you’re ready to enroll, you may do so using the DHS Services Portal .

Iowa Department of Health and Human Services
Medicaid Member Services
(800) 338-8366