In Iowa, there are seven programs called HCBS Waivers. These waivers help people stay in their own homes or communities instead of going to a medical institution.

These programs also provide funding and personalized support for individuals who qualify, allowing them to receive the care they need while remaining in a familiar environment.

HCBS Waivers

To learn more about the HCBS Waiver Program, please read the HCBS Waiver Program brochure, "Are Home- and Community-Based Services Right for You?"

HCBS Waiver Amendments

Prevocational and Supported Employment Services

  • Employment Matrix

    Iowa HHS, 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

HCBS Waiver Program Resources

HCBS Waiver Forms

HCBS Waiver Provider Contacts

Persons wishing to enroll for services should contact the local HHS offices in the county where the enrollee resides.

Finding a Provider 
See the HHS website to search for available service providers, including waiver, Medicaid and mental health providers as well as others.

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.

HCBS and MLTSS Program Managers

Program oversight is provided by program managers from the Bureau of Medical and Long-Term Services and Supports.

Contact Lists

Access each contact list to view the names and contact information.

Fiscal Agents

  • Provider Services
    Iowa Medicaid
    PO Box 36450
    Des Moines, Iowa 50315
    800-338-7909
    515-256-4609 (local from Des Moines metro area)
  • Member Services
    Iowa Medicaid
    PO Box 36510
    Des Moines, Iowa 50315
    800-338-8366
    515-256-4606 (local from Des Moines metro area)

Program Integrity

Iowa Medicaid

PO Box 36390

Des Moines, Iowa 50315

877-446-3787

515-256-4615 (local from Des Moines metro area)

Department of Elder Affairs

515-725-3333

Are you having trouble affording rent?

Temporary rental assistance is available for people who receive services through Medicaid waivers. The Iowa Finance Authority provides temporary rental assistance for people who receive services through Medicaid waivers. For more information, visit their website or contact their office toll free at 1-800-432-7230.

Iowa Finance Authority

2015 Grand Avenue

Des Moines, IA 50312

515-725-4900 (Des Moines metro area)

800-432-7230

Waiver Draft Transition Plans & The Statewide Transition Plan

Final Settings Statewide Transition Plan

Final Statewide HCBS STP (2022)

Final Statewide HCBS STP (2019)

Initial Approved Statewide HCBS Settings Transition Plan 

Initial Approved Statewide HCBS Settings Transition Plan (August 2016)

Approval Letter

Attachment B

Appendix A (January 2016)

 

HCBS ID Waiver Tiered Rates FAQ

HCBS Waivers & Amendments

State Plan Amendment, HCBS Habilitation 

1915(i) HCBS Habilitation Program Approval Package_IA 17-003

 

HCBS Waiver Program Amendments 

HCBS Waiver Waiting List Information

Many members apply for waivers. It is possible that there may be a waiting list for waivers. The waiting list can vary by program and by utilization rates. Your HHS worker can help you understand waiting lists.

How to apply online
Follow this link to obtain information on making an application online.

Where to go for assistance 
Use the interactive HHS map to locate a HHS office for assistance.

Are you having trouble affording rent?
The Iowa Finance Authority provides temporary rental assistance for members who receive services through Medicaid waivers. For more information, visit their website or contact their office toll free at 1-800-432-7230.

Iowa Finance Authority
2015 Grand Ave.
Des Moines, IA 50312
515-725-4900 (Des Moines metro area)
800-432-7230

Information regarding Estate Recovery:

When you received Medicaid benefits, which includes capitation fees paid to a managed care organization, even if the plan did not pay for any services, the State of Iowa has the right to ask for money back from your estate after your death. Members affected by the estate recovery policy are those who are: 

  • 55 years of age or older, regardless of where they are living; or
  • under age 55 and: 
    • reside in a nursing facility, an intermediate care facility for persons with intellectual disability, or a mental health institute, and
    • cannot reasonably be expected to be discharged and return home. 

Competency-Based Training for Providers and Direct Support Professionals
Competency-based training (CBT), technical assistance (TA), and consultation for Iowa long-term services and supports (LTSS) providers and case managers has come to Iowa Medicaid. The Iowa Legislature has provided for specific funding to provide TA and statewide CBT to Medicaid providers and case managers of LTSS. Iowa Legislature appropriates funding for these services annually. The CBT and TA will be provided with the intent of generating positive outcomes for providers and members. This CBT will be focused on providing a better understanding of, and compliance with, state and federal regulations concerning service provision. It will also be implemented to increase provider staff competencies in provision of direct services. This CBT is a statewide initiative for LTSS service providers and case managers.