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Iowa Department of Health and Human Services

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?"

Some of the Available Services

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
Prevocational and Supported Employment Services
  • Employment Matrix
    The Department, in collaboration with the Iowa Association of Community Providers (IACP), the Iowa Coalition for Integration and Employment (ICIE), and the managed care organizations (MCO), has developed an Employment Matrix. This tool was created to provide an easy to follow guide to HCBS-funded employment services and supports. The Employment Matrix also provides guidance regarding the employment service provider staff qualifications and training requirements and the processes for service authorization for employment services for both FFS and the MCOs. 
  • Employment First Guidebook 
    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 (FAQ) 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 Services. 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
  • Supported Employment (SE) and Supported Community Living (SCL)
  • Residential-Based Supported Community Living (RBSCL)

HCBS Waiver Program Resources

HCBS Waiver Forms