Home and Community Based Services

The Iowa Home & 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), 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
  • CDAC Training Video: Learn more about being a CDAC provider by downloading the CDAC training video. You will be downloading a .zip file and when the download is complete, you will be able to view the training video. The training video is divided into six video segments: (download the training video)
    1. Introduction
    2. The CDAC Agreement
    3. Daily Service Record (DSR)
    4. Claim for Targeted Medical Care (TMC)
    5. CDAC Procedures
    6. Audits and Reviews

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.

Habilitation Services
Habilitation Services provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses.

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. 

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.

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. 

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.

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. 

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. 

Relevant Resources

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)