Medicare Savings Program

Medicaid is a joint Federal and State program that helps pay medical costs for individuals with limited income and resources. Individuals with Medicare Part A and/or Part B, who have limited income and resources, may get help paying for their out-of-pocket medical expenses from their State Medicaid Program.

Medically Needy (also known as the "spenddown program")

If your income is too high for Medicaid but your medical costs are so high that it uses up most of your income, you may qualify for some payment help through the Medically Needy plan. If you qualify you are responsible for paying some of the costs of your medical expenses.

HCBS Waiver Provider Contacts

Persons wishing to enroll for services should contact the local DHS offices in the county where the enrollee resides.

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. TCM services are available for Medicaid members with intellectual disabilities, chronic mental illness, or a developmental disability ,and members eligible for the HCBS Children's Mental Health (CMH) Waiver. 

Home Health Services

The Home Health Services (HHS) program provides in home medical services by Medicare-certified home health agencies. A member does not have to be determined homebound in order to receive HHS services. HHS does not include medical needs that can be met by a family member, significant other, friend, neighbor, community or other unpaid resources. 

Program of All Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) is a specialized managed care program that provides preventive care, primary care, social services, therapeutic recreation, acute and long-term care services.


Frequently Asked Questions

Habilitation Services

Habilitation Services is a program to provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses. The federal Deficit Reduction Act of 2005 permitted states to offer home- and community-based services (HCBS) as a state plan option effective January 1, 2007.

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.