HOME Project Member Resources

Quick Guides 

• Phase 1 Wavier Services Overview Guide (219.1 KB) .pdf
• Waiver Assessments Quick Guide (150.24 KB) .pdf
• Elderly Waiver Quick Guide (137.31 KB) .pdf

Crosswalk

HOME Phase 1 CY & AD Services Crosswalk (294.38 KB) .pdf

• Iowa Medicaid Dashboard
• Waiver Information
• Quality Scores 

HOME Community Resource List (392.88 KB) .pdf

If you get waiver services now, you will stay on a waiver. You can keep working with your case manager on your services and person-centered goals. You do not need to apply for a new HOME Waiver. Iowa HHS will share more information before members move to the new HOME Waivers.

When the new HOME Waivers launch, Iowa HHS plans to move members enrolled in the six current disability-based waivers to a new waiver based on their age: 

• Members from birth through age 20 will move to the Children and Youth Waiver.  
• Members aged 21 and older will move to the Adults with Disabilities Waiver.  
• Members enrolled in the Elderly Waiver will stay on that waiver.  

You will not need to submit a new waiver application. Iowa HHS plans to update members’ enrollment automatically, as long as you still meet Medicaid, disability or clinical, and level-of-care eligibility rules. Iowa HHS will use information it already has when possible. If they need more information, Iowa HHS or your case manager will contact you. Some members may need to complete a disability determination, including some young adults moving to the Adults with Disabilities Waiver.  

Iowa HHS also plans to prevent gaps in waiver services and case management as members move to the new waivers. For example, Iowa HHS expects that your person-centered service plan and scheduled review date will carry forward to the new waivers. 

For now: 

• Keep using the services in your approved plan.  
• Complete Medicaid renewals and scheduled waiver assessments.  
• Keep your address, phone number, and other contact information current.  
• Tell your case manager if your needs or circumstances change.  

Read notices from Iowa HHS, your managed care organization, and your case manager.

If you get waiver services now, you will stay on a waiver. You can keep working with your case manager on your services and person-centered goals. You do not need to apply for a new HOME Waiver. Iowa HHS will share more information before members move to the new HOME Waivers.

When the new HOME Waivers launch, Iowa HHS plans to move members enrolled in the six current disability-based waivers to a new waiver based on their age: 

• Members from birth through age 20 will move to the Children and Youth Waiver.  
• Members aged 21 and older will move to the Adults with Disabilities Waiver.  
• Members enrolled in the Elderly Waiver will stay on that waiver.  

You will not need to submit a new waiver application. Iowa HHS plans to update members’ enrollment automatically, as long as you still meet Medicaid, disability or clinical, and level-of-care eligibility rules. Iowa HHS will use information it already has when possible. If they need more information, Iowa HHS or your case manager will contact you. Some members may need to complete a disability determination, including some young adults moving to the Adults with Disabilities Waiver.  

Iowa HHS also plans to prevent gaps in waiver services and case management as members move to the new waivers. For example, Iowa HHS expects that your person-centered service plan and scheduled review date will carry forward to the new waivers. 

For now: 

• Keep using the services in your approved plan.  
• Complete Medicaid renewals and scheduled waiver assessments.  
• Keep your address, phone number, and other contact information current.  
• Tell your case manager if your needs or circumstances change.  

Read notices from Iowa HHS, your managed care organization, and your case manager.

If you are already on a waiver waitlist, you will stay on the waitlist. Starting in October 2026, you can choose to complete the Waiver Priority Needs Assessment (WPNA) online. The WPNA asks about your current needs and urgent situations, such as whether you have a caregiver, a safe place to live, or safety concerns. Your WPNA score and how long you have been waiting will help determine when you receive a waiver slot.

If your needs or situation change while you are waiting, you can submit a new WPNA.

While you wait: 

• Keep your address, phone number, and other contact information current.  
• Respond to requests for information from Iowa HHS.  
• Update your WPNA if your health, safety, housing, caregivers, or support needs change.  
• Keep copies of your waiver application and notices.  
• Contact Iowa HHS if you believe your application date or waitlist information is incorrect.  
• If you are an adult (age 21 or older) or nearing adulthood, make sure you have a disability determination. (Learn more about Iowa’s disability determination process.)

When the new HOME Waivers launch, Iowa HHS plans to move people on the six current disability-based waiver waitlists to a new waiver waitlist based on their age:

• Applicants from birth through age 20 will move to the Children and Youth Waiver waitlist.  
• Applicants age 21 and older will move to the Adults with Disabilities Waiver waitlist.  

Your place on the waitlist will be based on your current waiver application date and your Waiver Priority Needs Assessment or WPNA, score, if you have completed the WPNA. If you are on more than one waiver waitlist, Iowa HHS plans to combine your records and keep the earliest application date and your highest WPNA score. 

Important: In order to get a spot on the Adults with Disabilities Waiver waitlist, you need to have a disability determination. People on the Physical Disability Waiver waitlist and Health and Disability Waiver waitlist already have this, but people on the other waiver waitlists may not. 

Moving to a HOME Waiver waitlist does not mean you will get a waiver slot right away. Waitlists will continue after the new waivers launch. Iowa HHS plans to consider both a person’s needs and how long the person has been waiting when waiver slots become available. When you are offered a slot, Iowa HHS will confirm that you meet all eligibility requirements, including: 

• Medicaid and financial eligibility  
• Disability or clinical eligibility  
• Level-of-care eligibility  

You cannot apply for the new HOME Waivers yet. The Children and Youth Waiver and Adults with Disabilities Waiver have not started and Iowa HHS has not set a launch date. 

You can still apply for HCBS waiver services now. Until HOME Waivers begin, you can apply for services through one or more of Iowa’s current HCBS waivers: 

• If you already receive Iowa Medicaid: Complete the Home- and Community-Based Services Waiver Request, Form 470-5555. Select the waiver or waivers you want Iowa HHS to consider, sign the form, and follow the submission instructions on the form.  
• If you do not currently receive Iowa Medicaid: Complete the Application for Health Coverage and Help Paying Costs, Form 470-5170. In Appendix A, select the waiver or waivers you want to apply for. You can also review other ways to apply on the Apply for Medicaid page.  
• Not sure which waiver may fit your needs? Review Iowa’s current HCBS waiver programs or contact Iowa Medicaid Member Services for help.  

If you have a case manager, tell your case manager as soon as possible. You do not need to wait until your next scheduled assessment. 

Your case manager can help determine whether you need: 

• A service plan update  
• A reassessment  
• A change in services  
• A new provider  
• Help connecting with another program or resource  

If you are on a waitlist, submit or update your Waiver Priority Needs Assessment (WPNA). If your address, income, household, or other Medicaid eligibility information changed, report that change to Iowa HHS. 

Current rules apply until the new waivers launch. 

In the future, Children and Youth Waiver members who want to move to the Adults with Disabilities Waiver at age 21 will need to meet Adults with Disabilities Waiver eligibility requirements and may need a disability determination. 

Ask your child’s case manager or Iowa HHS about the current rules and any required applications or documentation to help your child get the support they need as they transition into adulthood.

I am interested in Peer Mentoring or Community Transition Services

These services are proposed to be added to some existing waivers beginning January 2027, subject to approval by the Centers for Medicare & Medicaid Services (CMS). 

Talk to your case manager for more information. 

For now, your services are staying the same. Continue using your currently approved service unless you receive an official notice or your case manager tells you that an approved change is taking effect. 

In the near future, Iowa HHS plans to add new services and update some service definitions within the existing waivers. If a change affects your service, your case manager will explain:  

• What is changing  
• When the change takes effect  
• Whether you need to do anything  
• Whether your provider or authorization will change  
• What rights you have if you disagree  

Contact your case manager if a provider tells you they may stop delivering a service that you are approved to receive.