Consumer Choices Option

On April 1, 2016, most Iowa Medicaid programs were joined together into one managed care program called IA Health Link. Most existing Medicaid members were enrolled in IA Health Link on April 1, 2016, and most new members who became eligible after April 1, 2016, will also be enrolled in IA Health Link. Home- and Community-Based waiver members receive coverage for the IA Health Link program. This program gives you health coverage through a Managed Care Organization (MCO) that you get to choose.

The Consumer Choices Option is an option that is available under the Home and Community Based Services waivers that gives you control over a targeted amount of Medicaid dollars so that you can develop a plan to meet your needs by directly hiring employees and/or purchasing other goods and services. The Consumer Choices Option offers more choice, control and flexibility over your services as well as more responsibility.

The Consumer Choices Option may be right for you if you answer yes to these questions:

  • Do you want more control over how waiver Medicaid dollars are spent on your needs?
  • Do you want to be the employer of the people that provide support to you?
  • Do you want to be responsible for recruiting, hiring and firing your workers and service providers?
  • Do you want to be responsible for training, managing and supervising your workers and service providers?
  • Do you want the flexibility to be able to purchase goods or services in order to meet your needs?

Additional help is available if you choose this option. You will choose an Independent Support Broker who will help you develop your individual budget and help you recruit employees. You will also work with a Financial Management Service that will manage your budget for you and pay your workers on your behalf.

If you feel the Consumer Choices Option is right for you, please contact your case manager/services or your assigned MCO directly for help in accessing this option.

Relevant forms for the Consumer Choice Option:


Informed Consent and Risk Agreement


Employment Agreement


Financial Management Service Agreement


Semi-MonthlyTime Sheet


Delegation of Budget Authority


Consumer Choices Option Individual Budget


Independent Support Broker Agreement


Non-Payroll Reimbursement Request