In 2010, the Iowa Legislature expanded IowaCare, a limited benefit program, to include Federally Qualified Health Centers (FQHCs), some of which have been authorized by Iowa Medicaid Enterprise (IME) to provide basic, primary health care services to IowaCare members in certain counties. Since 2005, the IowaCare program has helped thousands of low-income adults in Iowa, many with multiple chronic diseases and other acute needs, access health care services. Prior to this expansion, IowaCare members in every county other than Polk accessed treatments and services at The University of Iowa Hospitals and Clinics in Iowa City. In Polk County, IowaCare members have and will continue to access treatments and services through Broadlawns Medical Center. The 2010 expansion was first implemented at Peoples Community Health Clinic based in Waterloo and Clarksville and at Siouxland Community Health Center based in Sioux City. Three additional FQHCs will begin serving IowaCare members on July 1, 2011, which includes Community Health Center of Fort Dodge (Fort Dodge), Crescent Community Health Center (Dubuque), and Primary Health Care, Inc. (Marshalltown). Additional FQHCs may be authorized to implement the program during the next two years.
All participating providers in the program are working to become recognized patient centered medical homes. IME has developed a medical home model to guide the program is participating providers are required to submit quarterly and annual reports focused on patient centered medical home development and implementation.