Key Changes to Home and Community Based Services (HCBS) Case Management 

Iowa HHS is making Medicaid HCBS case management better by limiting the number of members each community-based case manager can work with, meaning members can get more personal and timely support.

 These limits, which are called caseload ratios, do not apply to facility-based or fee-for-service case management. Iowa HHS is researching possible ratios for case managers who work with people living in long term care facilities, children and youth with serious emotional disturbance (SED) and adults with serious and persistent mental illness (SPMI) and will share any new ratios ahead of time. New training and rules help case managers do their jobs better and meet with members more often. This page explains these changes and why they matter.  

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