Written by a parent, not a doctor. Nothing here is medical advice.

Get ready to apply

Iowa Health and Human Services

Medically Needy

What you get

A way to count high medical costs toward Medicaid's financial rules when income or resources exceed ordinary limits. Open now.

Who starts it
You
How it’s sent
Online, on their website
Your time
About 15 minutes
Last checked
Aug 27, 2026

Before you start, check you fit

  • Annual figures, local capacity, and program transitions can change; confirm before relying on this record.
  1. What their form asksA preview, so you can gather things first. Fill it in on their site.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Application preparation
    Applicant, household, eligibility, and service-specific facts requested by the official intake route

    Have ready

    • Application for Health Coverage and Help Paying Costs, form 470-5170 (Rev. 04/25), non-fillable PDF.
    • Medical bills or other expense evidence requested by HHS to calculate the spend-down.

After you send

Keep medical-bill and insurance records outside the public drafting interface and submit them only through the official HHS channel when requested. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published