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Benefits Overview

Access to quality medical services is just one of the many Iowa Medicaid benefits that Iowa Total Care provides to eligible individuals and families in the state. You can view some of the basic health care services that are covered by Iowa Health Link (Medicaid) below or contact us today for more information.

Get Iowa Health Link Benefits from Iowa Total Care

Iowa Total Care’s Medicaid plans offers comprehensive health care benefits and services that suit the needs of families and individuals throughout Iowa. View some of Iowa Medicaid member services and benefits from Iowa Total Care below.

Please refer to the Member Handbook (PDF) for a complete list of benefits and services available to you.  

See an overview of the programs and services (PDF) available to you.

Utilization Management

We want to make sure you get the right care and services. Our utilization management process is designed to make sure you get the treatment you need.

We will approve all covered benefits that are medically necessary. Our Utilization Management (UM) Department checks to see if the service needed is a covered benefit. If it is a covered benefit, the UM nurses will review it to see if the service requested meets medical necessity criteria. They do this by reviewing the medical notes and talking with your doctor.

Iowa Total Care does not reward practitioners, providers or employees who perform utilization reviews, including those of the delegated entities. Utilization Management’s decision making is based only on appropriateness of care, services and existence of coverage. Iowa Total Care does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for UM decision makers do not encourage decisions that result in underutilization.

Iowa Total Care reviews services to ensure the care you receive is the best way to help improve your health condition. Utilization review includes: