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.

The Seven HCBS Waivers:

  1. Health and Disability (HD) Waiver
    HD Waiver Information Packet:       In English     /     En Espanol
  2. AIDS/HIV (AH) Waiver
    AH Waiver Information Packet:       In English     /     En Espanol
  3. Elderly (E) Waiver
    E Waiver Information Packet:          In English     /     En Espanol
  4. Intellectual Disability (ID) Waiver
    ID Waiver Information Packet:         In English     /     En Espanol
  5. Brain Injury (BI) Waiver
    BI Waiver Information Packet:         In English     /     En Espanol
  6. Physical Disability (PD) Waiver
    PD Waiver Information Packet:        In English     /     En Espanol
  7. Children's Mental Health (CMH) Waiver
    CMH Waiver Information Packet    In English     /     En Espanol

If you wish to learn more about the HCBS Waiver Program, please read the HCBS Waiver Program brochure, "Are Home and Community Based Services Right for You?"

Consumer Choices Option (CCO)
Members can also take advantage of a Consumer Choices Option (CCO) which gives members more control over how to choose their services. Read more about the Consumer Choices Option in this CCO Information Flyer or visit the Consumer Choices Option webpage.
Consumer Directed Attendant Care (CDAC) Services: 
In the HCBS Waiver Program, there is an opportunity for people to have help in their own homes through the CDAC services. These are services designed to help people do things that they normally would for themselves if they were able. Read more about the CDAC services by visiting the CDAC webpage.

Applying to become a provider in the HCBS Waiver Program  
Read more about how to become a provider in the HCBS Waiver Program.

HCBS Provider Manual
Access the HCBS provider manual.

Program Comparison Charts 
Chart comparing the various HCBS programs and services.

HCBS Waiver Waiting List Information
Many people apply for waivers. 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.

HCBS Resources

Prevocational and Supported Employment Services

The department in partnership with employment stakeholders has developed an Employment First Guidebook. This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home care coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work. 

Frequently Asked Questions for HCBS Prevocational and Supported Employment Services 
The department  has developed a frequently asked questions document to provide additional policy clarification and guidance pertaining to HCBS Prevocational and Supported Employment Service. This document is updated periodically.

Personnel Checklists:

Personnel checklists for providers enrolled to provide Supported Employment (SE) services, Supported Community Living (SCL) services and Residential-Based Supported Community Living (RBSCL) services. This is used to document dates of required trainings for workers providing any of these services.

Children's Mental Health Waiver Assessment Form

Brain Injury Functional Assessment Form

Intellectual Disability Functional Assessment Form

Application for a 1915(c) CBS Waiver

Individualized Services Information System (ISIS) User ID Form
User ID request form to add new workers to the Individualized Services Information System (ISIS). Save locally, fill out, then send as an attachment to ISISHelpDesk@dhs.state.ia.us.