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
- Health and Disability (HD) Waiver
HD Waiver Information Packet: In English / En Espanol
- AIDS/HIV (AH) Waiver
- Elderly (E) Waiver
E Waiver Information Packet: In English / En Espanol
- Intellectual Disability (ID) Waiver
ID Waiver Information Packet: In English / En Espanol
- Brain Injury (BI) Waiver
BI Waiver Information Packet: In English / En Espanol
- Physical Disability (PD) Waiver
PD Waiver Information Packet: In English / En Espanol
- 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 Intellectual Disability (ID) Waiver Tiered Rates
-
Process Flow Chart for HCBS Waiver Applications
- HCBS Waiver Waiting List Information: Many people apply for waivers. There may be a waiting list for some waiver programs. The waiting list can vary by program and by utilization rates. Your DHS worker can help you understand waiting lists.
- 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
- HCBS Provider Contact Page
- Resources to help you find an HCBS Provider
- HCBS Specialist Oversight Regions (specialist map)
- HCBS Specialists by County (specialists by county)
HCBS Waiver Forms
- IoWANS User ID Form: User ID request form to add new workers to the Institutional and Waiver Authorization and Narrative System (IoWANS). Save locally, fill out, then send as an attachment to IoWANSHelpDesk@dhs.state.ia.us.