IA MEDICAID MARKET
Iowa
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No current verified market signal.
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Last verified: unavailable · unknown because no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 25
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Access2Care | not reported | 11,814 (2017) | 100.0% calculated | not reported |
| Centene | Iowa Total Care | not reported | 203,393 (2024) | 33.7% calculated | 7 sanctions, 2,921 appeals resolved |
| not reported | Delta Dental of Iowa | not reported | 207,868 (2018) | 68.7% calculated | not reported |
| not reported | Delta Dental of Iowa | not reported | 123,578 (2017) | 80.3% calculated | not reported |
| not reported | Delta Dental of Iowa | not reported | 391,799 (2024) | 62.2% calculated | 1 sanctions, 227 appeals resolved |
show all 25
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| Elevance | Amerigroup of Iowa, Inc. | not reported | 184,151 (2017) | 33.1% calculated | not reported |
| Elevance | Amerigroup of Iowa, Inc. | not reported | 180,304 (2018) | 31.9% calculated | not reported |
| Elevance | Amerigroup of Iowa, Inc. | not reported | 354,432 (2020) | 58.8% calculated | not reported |
| Elevance | Amerigroup of Iowa, Inc. | not reported | 268,574 (2023) | 36.7% calculated | not reported |
| Elevance | Wellpoint of Iowa, Inc. (formerly Amerigroup of Iowa, Inc.) | not reported | 222,782 (2024) | 36.9% calculated | 15 sanctions, 1,659 appeals resolved |
| Independence Blue Cross | AmeriHealth Caritas of Iowa, Inc. | not reported | 207,912 (2017) | 37.4% calculated | not reported |
| not reported | MCNA Dental | not reported | 30,407 (2017) | 19.7% calculated | not reported |
| not reported | MCNA Dental Plans, Inc. | not reported | 238,466 (2024) | 37.8% calculated | 62 appeals resolved |
| not reported | Access2Care, LLC | not reported | 15,581 (2018) | 100.0% calculated | not reported |
| Molina | Molina Healthcare, Inc. | not reported | 177,800 (2024) | 29.4% calculated | 9 sanctions, 603 appeals resolved |
| not reported | TMS | not reported | 11,676 (2022) | 100.0% calculated | not reported |
| UnitedHealth | UnitedHealthcare | not reported | 384,188 (2018) | 68.1% calculated | not reported |
| UnitedHealth | UnitedHealthcare of the River Valley, Inc. | not reported | 164,326 (2017) | 29.5% calculated | not reported |
| not reported | AmeriHealth Caritas of Iowa, Inc. | not reported | 208,327 (2016) | 37.1% calculated | not reported |
| not reported | Amerigroup of Iowa, Inc. | not reported | 182,617 (2016) | 32.5% calculated | not reported |
| not reported | Delta Dental of Iowa | not reported | 150,413 (2016) | 100.0% calculated | not reported |
| not reported | PACE | not reported | 295 (2016) | 100.0% calculated | not reported |
| not reported | PACE | not reported | 721 (2024) | 100.0% calculated | not reported |
| not reported | TMS | not reported | 13,395 (2016) | 100.0% calculated | not reported |
| not reported | UnitedHealthcare of the River Valley, Inc. | not reported | 171,143 (2016) | 30.4% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
Dental Wellness Plan (Dental only (PAHP))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Delta Dental of Iowa | Delta Dental of Iowa | Delta Dental of Iowa | Statewide | CMS reported 391,799 (2024) | 62.2% | -68,609 (-14.9%) | -0.2 pts | 2016: 150,413; 2017: 123,578; 2018: 207,868; 2019: 278,628; 2020: 292,447; 2021: 432,008; 2022: 470,435; 2023: 460,408; 2024: 391,799 |
| MCNA Dental Plans, Inc. | Managed Care of North America, Inc. | Managed Care of North America, Inc. | Statewide | CMS reported 238,466 (2024) | 37.8% | -39,922 (-14.3%) | +0.2 pts | 2018: 94,813; 2019: 111,413; 2020: 126,658; 2021: 279,207; 2022: 290,347; 2023: 278,388; 2024: 238,466 |
| MCNA Dental | MCNA Insurance Company and Managed Care of North America, Inc. | MCNA Insurance Company and Managed Care of North America, Inc. | Statewide | not reported | not reported | not reported | not reported | 2017: 30,407 |
IA Health Link (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup of Iowa, Inc. | Elevance Health | Elevance | Statewide | not reported | not reported | not reported | not reported | 2022: 422,283; 2023: 268,574 |
| Iowa Total Care | Centene Corporation | Centene | Statewide | CMS reported 203,393 (2024) | 33.7% | -56,167 (-21.6%) | -1.8 pts | 2022: 330,666; 2023: 259,560; 2024: 203,393 |
| Molina Healthcare, Inc. | Molina Healthcare, Inc. | Molina | Statewide | CMS reported 177,800 (2024) | 29.4% | -25,635 (-12.6%) | +1.6 pts | 2023: 203,435; 2024: 177,800 |
| Wellpoint of Iowa, Inc. (formerly Amerigroup of Iowa, Inc.) | Elevance Health | Elevance | Statewide | CMS reported 222,782 (2024) | 36.9% | not reported | not reported | 2024: 222,782 |
IA Healthlink (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AmeriHealth Caritas of Iowa, Inc. | Independence Blue Cross | Independence Blue Cross | Statewide | not reported | not reported | not reported | not reported | 2016: 208,327; 2017: 207,912 |
| Amerigroup of Iowa, Inc. | AMERIGROUP Corporation | Elevance | Statewide | not reported | not reported | not reported | not reported | 2016: 182,617; 2017: 184,151; 2018: 180,304; 2019: 354,432; 2020: 354,432 |
| Iowa Total Care | Centene Corporation | Centene | Statewide | not reported | not reported | not reported | not reported | 2019: 248,252; 2020: 248,252 |
| UnitedHealthcare of the River Valley, Inc. | UnitedHealthcare, Inc. | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2016: 171,143; 2017: 164,326 |
| UnitedHealthcare | UnitedHealthcare | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2018: 384,188 |
Iowa Health Link (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerigroup of Iowa, Inc. | Elevance Health | Elevance | Statewide | not reported | not reported | not reported | not reported | 2021: 401,962 |
| Iowa Total Care | Centene Corporation | Centene | Statewide | not reported | not reported | not reported | not reported | 2021: 301,486 |
NEMT (Non-Emergency Medical Transportation)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Access2Care, LLC | Mission Care Services, LLC | Mission Care Services, LLC | Statewide | not reported | not reported | not reported | not reported | 2018: 15,581 |
| Access2Care | American Medical Response | American Medical Response | Statewide | not reported | not reported | not reported | not reported | 2017: 11,814 |
| TMS | TMS Management Group | TMS Management Group | Statewide | not reported | not reported | not reported | not reported | 2016: 13,395; 2020: 9,803 |
Non-Emergency Medical Transportation (NEMT)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| TMS | TMS Management Group | TMS Management Group | Statewide | not reported | not reported | not reported | not reported | 2022: 11,676 |
Non-Emergency Medical Transportation (NEMT) (Non-Emergency Medical Transportation)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| TMS | TMS Management Group | TMS Management Group | Statewide | not reported | not reported | not reported | not reported | 2019: 9,951 |
PACE (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, and Warren Counties | CMS reported 721 (2024) | 100.0% | +49 (+7.3%) | 0.0 pts | 2023: 672; 2024: 721 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Available in these counties: Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, Warren. | not reported | not reported | not reported | not reported | 2017: 352 |
| PACE | PACE | unmatched | Boone, Cherokee, Dallas, Harrison, Jasper, Madison, Marion, Marshall, Mills, Monona, Plymouth, Polk, Pottawattamie, Story, Warren, and Woodbury counties | not reported | not reported | not reported | not reported | 2021: 599 |
| PACE | PACE | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, and Warren Counties | not reported | not reported | not reported | not reported | 2018: 434 |
| PACE | PACE | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, and Warren counties | not reported | not reported | not reported | not reported | 2020: 590 |
| PACE | not reported | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, Warren | not reported | not reported | not reported | not reported | 2016: 295 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, and Warren Counties | not reported | not reported | not reported | not reported | 2022: 612 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PACE | PACE | unmatched | Harrison, Mills, Pottawattamie, Cherokee, Monona, Plymouth, Woodbury, Boone, Dallas, Jasper, Marshall, Madison, Marion, Polk, Story, and Warren Counties | not reported | not reported | not reported | not reported | 2019: 562 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Delta Dental of Iowa | Delta Dental of Iowa | Dental Wellness Plan | 108 | 40 | 37.0% calculated | 361 | 62.5% | 63.3% |
| Managed Care of North America, Inc. | unmatched | Dental Wellness Plan | 83 | 0 | 0.0% calculated | 1,964 | 36.3% | 36.7% |
| Iowa Total Care, Inc. | Centene | Iowa Health Link | 1,468 | 795 | 54.2% calculated | 1,387 | 33.2% | 35.3% |
| Molina Healthcare of Iowa, Inc | Molina | Iowa Health Link | 603 | 542 | 89.9% calculated | 7,843 | 25.5% | 27.1% |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Iowa Health Link | not reported | 379 | not reported | 2,098 | 35.4% | 37.6% |
Sanctions (2024)
Sanctions (2024) 28
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Delta Dental of Iowa | Delta Dental of Iowa | Performance improvement | 2024-04-30 | No | Yes, remediated |
| Managed Care of North America, Inc. | unmatched | Performance improvement | 2024-05-03 | No | Yes, remediated |
| Iowa Total Care, Inc. | Centene | Reporting | 2023-12-18 | No | Yes, remediated |
| Iowa Total Care, Inc. | Centene | Reporting | 2024-04-24 | No | Yes, remediated |
| Iowa Total Care, Inc. | Centene | Reporting (N/A) | 2024-07-03 | No | Yes, remediated |
show all 28
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Iowa Total Care, Inc. | Centene | Reporting | 2023-09-08 | No | Yes, remediated |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2023-08-11 | No | Yes, remediated |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2024-10-08 | No | No, no remediation |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2023-09-26 | No | No, no remediation |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2023-09-26 | No | No, no remediation |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2023-11-02 | No | Yes, remediated |
| Molina Healthcare of Iowa, Inc | Molina | Reporting | 2023-12-27 | No | No, no remediation |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2024-04-23 | No | Remediation in progress |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2024-07-03 | No | No, no remediation |
| Molina Healthcare of Iowa, Inc | Molina | Performance improvement | 2024-10-08 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2023-12-28 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2023-12-28 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Reporting | 2023-12-28 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2023-12-28 | No | Yes, remediated |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Reporting | 2023-12-28 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2023-12-28 | Yes | Yes, remediated |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2023-08-30 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Reporting (N/A) | 2023-09-08 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2024-01-22 | No | No, no remediation |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2024-04-30 | Yes | Remediation in progress |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2024-04-30 | No | Yes, remediated |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Performance improvement | 2024-07-03 | Yes | Remediation in progress |
| Wellpoint Iowa, Inc. (formally Amerigroup Iowa, Inc.) | Elevance | Reporting (N/A) | 2024-07-19 | No | Remediation in progress |
Award history
- Iowa High Quality Healthcare Initiative (IA Health Link) MCO RFP MED-16-009: awarded. Iowa High Quality Healthcare Initiative (IA Health Link) MCO (RFP MED-16-009). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: Amerigroup Iowa, Inc., UnitedHealthcare Plan of the River Valley, Inc., AmeriHealth Caritas Iowa, Inc..
- Iowa Health Link MCO RFP MED-23-005: upheld. Iowa Health Link MCO (RFP MED-23-005). Status recorded from the retrieved documents: upheld. Named awardees in confirmed excerpts: Amerigroup Iowa, Inc., Molina Healthcare of Iowa, Inc.. Notice date 2022-08-31. Contract end 2031-06-30.
- Iowa Health Link MCO (Iowa Total Care contract) IA-2024-ITC: awarded. Iowa Health Link MCO (Iowa Total Care contract) (IA-2024-ITC). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: Iowa Total Care. Notice date 2024-09-03. Contract start 2025-07-01. Contract end 2031-06-30.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
- rfp MED-26-001: posted. no calendar day. The Iowa Health and Human Services Medicaid RFP page lists an accordion titled RFP MED-26-001: IA Health Link. That heading does not print a proposal deadline. This catalog does not treat the linked bidder files as a separate solicitation date. Iowa. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.
- rfp MEDIOMC27001: posted. no calendar day. The same Iowa Medicaid RFP page lists an accordion titled RFP MEDIOMC27001: Iowa Dental Wellness Plan and Hawki Dental Pre-Paid Ambulatory Health Plan (PAHP). That heading does not print a proposal deadline. An older Dental Wellness Plan bidder library on the page is not this RFP. Iowa. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.
Coverage: not_collected. Source receipts: 2 changed at 2026-11-15T10:15:37+00:00. Sources and dates
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.