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 HCBS as a state plan option effective January 1, 2007. Using this option, the Department worked with the Centers for Medicare and Medicaid Services (CMS) to design a program to meet the service needs of Iowans with the functional limitations typically associated with chronic mental illness. Habilitation Services are designed to assist participants in acquiring, retaining and improving the self-help, socialization and adaptive skills necessary to reside successfully in home- and community-based settings. Services available through the program include:

  • Case Management
    Provides service coordination and monitoring. Available as a Habilitation service when the individual does not otherwise qualify for targeted case management (Iowa Plan or IME funded).
  • Home-Based Habilitation
    Services provided in the person's home and community. Typical examples would be assistance with medication management, budgeting, grocery shopping, personal hygiene skills, etc.
  • Day Habilitation
    Services that are usually provided in a day program setting outside the home. Focuses on areas such as social skills, communication skills, behavior management, etc.
  • Prevocational Services
    Can be provided in a variety of settings, and focus on developing generalized skills that prepare a person for employment. Typical examples include attendance, safety skills, following directions, and staying on task.
  • Supported Employment
    Assists in obtaining and keeping a job in the community. Assists in placing the individual in a job in a regular work setting with persons without disabilities at minimum wage or higher, and provides support to maintain the job. Typical examples would include: skills assessments, consultation with the employer, job coaching, and behavior management.


HCBS Habilitation Program Changes Training Sessions
Postponed. See Infomrational Letter 2289-MC-FFS for more details.