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Click ‘Get Form’ to open the Medicaid hawk-i review in the editor.
Begin by entering your case number, county number, email address, and phone number at the top of the form. Ensure all information is accurate.
In the 'Household Members' section, list all individuals receiving benefits. Fill in their names, birth dates, Social Security numbers, and relationships to you. Cross out any incorrect information.
Answer questions regarding health conditions and pregnancy status. If applicable, provide details about additional household members not listed previously.
Complete the income section by detailing all sources of income for each household member. Include job details and any self-employment income.
Review your entries for accuracy before signing and dating page 6 of the form. Use our platform's features to easily edit any mistakes.
Finally, submit your completed form by mailing it to the provided address or bringing it directly to the office.

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Who funds Hawki?

A hawk-i trust fund is created in the state treasury under the authority of the department of human services, in which all appropriations and other revenues of the program such as grants, contributions, and participant payments shall be deposited and used for the purposes of the program.

How does Hawki insurance work?

Iowa offers Hawki for uninsured children of working families. No family pays more than $40 a month. Some families pay nothing at all. A child who qualifies for Hawki health insurance will get their health coverage through a managed care organization (MCO).

What is the countable income for Hawki?

Countable income. In determining initial and ongoing eligibility for the hawki program, countable income shall not exceed 302 percent of the federal poverty level for a family of the same size.

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