Iowa Department of Human Services

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).

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. 

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