The Iowa Home- and Community-Based Services (HCBS) are Medicaid programs that give you more choices about how and where you receive services. Home- and Community-Based Services are for people with disabilities and older Iowans who need services to allow them to stay in their home and community instead of going to an institution. There are several programs that provide Home- and Community-Based Services. The program names are HCBS Waivers (there are seven waivers), Habilitation Services, Program of All-Inclusive Care for the Elderly (PACE), Home Health, Hospice, Targeted Case Management (TCM), and Money Follows the Person (MFP).
|News and Announcements
HCBS Work Process Flow Charts for Various Medicaid Programs: Presented below are flow charts that outline different work flows that illustrate various policies and processes in the HCBS Waiver program.
On September 17, 2015, the Iowa Medicaid Enterprise (IME) Medical Services Unit and Department of Human Services (DHS) policy staff conducted a webinar regarding the Home- and Community-Based Services (HCBS) Waiver and Nursing Facility Level of Care (LOC) review process. This process involves the AIDS/HIV, Elderly, Health and Disability, and Physical Disability waivers. The following topics were covered:
The purpose of an HCBS waiver program
Nursing Facility (NF)/Intermediate Care Facility (ICF), and Skilled Nursing Facility (SNF) level of care requirements
Information necessary for the IME Medical Services Unit to determine LOC
Revised LOC Certification for HCBS Waiver Program, form 470-4392
The DHS Medicaid benefit extension period for members no longer meeting NF/ICF LOC
The IME Medical Services Unit resource coordination process with case managers and service workers for members no longer meeting NF/ICF LOC
Access the slide presentation
and the recording of the webinar.(Please note that the recording of the webinar is a .zip (compressed) file that must be downloaded to your PC. Once downloaded, it must be unzipped in order to access the recorded webinar.)
Below are the various Home- and Community-Based Services (HCBS) programs. Please access each program web page to learn more about each program.
1. Home- and Community-Based Services (HCBS) Waiver Program
Iowa currently has seven HCBS Waivers in the Waiver Program that provides service funding and individualized supports to maintain eligible members in their own homes or communities who would otherwise require care in a medical institution.
- Consumer Choices Option (CCO)
In the HCBS Waiver Program, members can also take advantage of a Consumer Choices Option (CCO) which gives members more control over how to choose their services.
- Consumer Directed Attendant Care (CDAC)
In the HCBS Waiver Program, there is an opportunity for people to have help in their own homes through the CDAC services.
- HCBS Provider Quality Management Self-Assessment
The Home and Community-Based Services (HCBS) Provider Quality Management Self-Assessment will be required of all providers enrolled for the services identified, regardless of whether those services are currently being provided. All sections of the self-assessment must be completed as requested (Sections A, B, C, D, E, and F) and submitted as a single document by the deadline indicated each year.
- HCBS Waiver Provider Contacts
Access the contact lists of HCBS waiver providers, specialists and map of specialist regions, and program managers.
2. Habilitation Services
Habilitation Services provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses.
3. Program of All-Inclusive Care for the Elderly (PACE)
This program helps members and health providers come together for preventive care, primary care, social services, therapeutic recreation, acute and long-term care services. This program aims to protect and improve the member's health; and quality of life. The goal of PACE is to keep members in their home. PACE is only available in a limited area.
4. Home Health Services
This program covers both children and adult members who need medical supports provided in the home by Medicare-certified home health agencies. Services included in this program are skilled nursing, home health aide, occupational therapy, physical therapy, speech therapy and medical social services.
5. Private Duty Nursing/Personal Cares Program
The Private Duty Nursing/Personal Cares (PDN/PC) program is part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program that provides in home private duty nursing and personal cares services by Medicare-certified home health agencies.
6. Hospice Services
A hospice provides palliative and supportive services to meet the physical, psychosocial, social, and spiritual needs of a terminally ill person and the persons family or others caring for the person, regardless of where the person resides. Hospice services are those services to control pain and provide support to people to continue life with as little disruption as possible. Payment for hospice services will be approved for Medicaid recipients who are certified terminally ill and who elect hospice care rather than active treatment for the illness.
7. Targeted Case Management
Targeted case management (TCM) is a method to manage multiple resources effectively for the benefit of Medicaid members. The service is designed to ensure the health, safety, and welfare of members by assisting them in gaining access to appropriate and necessary medical services and interrelated social, educational, housing, transportation, vocational, and other services.
8. Money Follows the Person
Money Follows the Person (MFP) provides opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify.
HCBS Waivers and Amendments
HCBS Waiver Waiting List Information
A lot of people apply for waivers. It is possible that there may be a waiting lists for waivers. The waiting list can vary by program and by utilization rates. Your DHS worker can help you understand waiting lists.
How to apply online
Follow this link to obtain information on making an application online
Where to go for assistance
Use the interactive DHS map to locate a DHS office for assistance
Are you having trouble affording rent?
Temporary rental assistance is available for people who receive services through Medicaid waivers. The Iowa Finance Authority provides temporary rental assistance for people who receive services through Medicaid waivers. For more information, visit their website or contact their office toll free at 1-800-432-7230.
Iowa Finance Authority
2015 Grand Avenue
Des Moines, IA 50312
515-725-4900 (Des Moines metro area)
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