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Medicaid Program

Home and community-based services (HCBS) are medical, social and supportive services for Iowans with functional, cognitive and other physical or mental health needs. These services are meant to help people live and receive services in a home and community-based setting instead of an institution.

HCBS are funded through Iowa Medicaid's HCBS waivers and Habilitation programs. In addition to the services available through an HCBS waiver, waiver-enrolled members have access to Medicaid covered services and benefits. For more information, see the HCBS Waivers Program webpage.

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For HCBS Members & Potential Members

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Find an HCBS Specialist

The state has been divided into HCBS Specialists Regions, with each region assigned a HCBS Specialist to provide technical assistance and quality oversight to the counties included in that HCBS region.

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Need Help with HCBS?

HCBS contacts
IssueContact
General HCBS questionshcbswaivers@hhs.iowa.gov
Report an issue or voice a complaint related to an HCBS or CNRS providerIncident and complaints:
hcbsir@hhs.iowa.go
Waiver slot or waiting list questionswaiverslot@hhs.iowa.gov
Refer an HCBS setting for assessment, or report an issuehcbssettings@hhs.iowa.gov
General CNRS questionscnrs@hhs.iowa.gov
  • Please note that the hcbsqi@hhs.iowa.gov email box is not regularly monitored outside of the annual self-assessment season (October through December).
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HCBS Settings

In 2014, The Centers for Medicare and Medicaid (CMS) made rules defining HCBS and outlining under what circumstances HCBS funding can be used. The goal of these rules was to make sure HCBS funding is truly used to support people to lead non-institutional lifestyles. The rules required HCBS to be provided in such a way that recipients:

  • are integrated into their communities;
  • are supported to make every day and major life choices;
  • access community life and resources;
  • experience autonomy; and
  • are afforded other important consumer protections and human rights. 

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HCBS Quality Oversight

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Quality oversight includes, but is not limited to, annual provider self-assessment, Periodic or Certification Reviews, CNRS Periodic Reviews, Focused Reviews and review of incidents and complaints (also known as Targeted Reviews). 

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Information About Specific Services

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