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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.
Back to topFor HCBS Members & Potential Members
Back to topFind 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.
- Map of HCBS Specialists Regions (specialist map)
- List of HCBS Specialists for each region (specialists by county)
Need Help with HCBS?
Issue | Contact |
---|---|
General HCBS questions | hcbswaivers@hhs.iowa.gov |
Report an issue or voice a complaint related to an HCBS or CNRS provider | Incident and complaints: hcbsir@hhs.iowa.go |
Waiver slot or waiting list questions | waiverslot@hhs.iowa.gov |
Refer an HCBS setting for assessment, or report an issue | hcbssettings@hhs.iowa.gov |
General CNRS questions | cnrs@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).
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.