All Iowa Medicaid SNF/LTC Facilities: Iowa Health and Wellness Program (IHAWP) Members Medically Exempt (ME) Status in Iowa Medicaid Portal Access (IMPA)

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare 

Iowa Medicaid issued guidance in Informational Letter 2318-MC-FFS regarding IHAWP member eligibility for SNF and NF services. Iowa Medicaid has implemented a ME status lookup function within IMPA. The look-up function will allow SNF and NF providers the ability to look up an IHAWP member’s ME status when the individual is admitted to their facility. Ongoing changes to an IHAWP member’s ME status will be displayed for providers to monitor. The Medicaid member must be a resident of a provider’s facility for that provider to access this information in IMPA.

SNF and NF staff are required to complete the enrollment form 470-5720 to access the ME look-up function. The enrollment form and user guide are located on the IMPA homepage. The Medically Exempt Application user guide will provide a step-by-step process for navigating the ME look-up function.

If you have questions, please contact Iowa Medicaid Provider Services at 1-800-338-7909 or by email at

This Informational Letter was issued on August 29, 2022 with an effective date of August 1, 2022: