Iowa Medicaid now provides training and support for Long-Term Services and Support (LTSS) providers and case managers. The Iowa Legislature has allocated funds for yearly evaluation of this support for various LTSS service providers, including home-based programs, rehabilitation services, habilitation services, home health, hospice, Money Follows the Person program, nursing/personal care, elderly care, and case management.
Upcoming CBT Trainings
How to Talk to Porcupines: Crossing the Communication Divide
September 10, 2025 | 10:00 AM - 11:30 AM | Attend in-person or virtually
- In-Person Registration
- Location: Carroll Library
- Virtual Registration through Zoom
Presenters: Allegra (Allie) Birdseye-Hannula, How to Talk to Porcupines Owner
Session Description:
People who work with young people often encounter prickly personalities (porcupines) and difficult situations. Communication breakdowns such as differing perspectives, assumptions, or heightened emotions are often at the heart of these challenges. Unless you learn to quickly defuse and de-escalate these situations, your program or classroom outcomes may be at risk.
Effectively redirecting a young person can help both of you cross communication divides. Learning how to break down communication barriers will help you better engage with the young people and clients you serve. This training will give you a clear understanding of porcupines. You’ll explore principles of effective communication strategies, including active listening, strategic questioning, body language, and non-verbal skills to positively engage with porcupines.
Through a mix of lecture and online interaction, you’ll broaden your communication know-how to skillfully handle porcupines and prickly situations. You’ll gain confidence by learning to implement your own action plan for de-escalating and redirecting porcupines. Come ready to learn, laugh, and engage! You’ll leave with a new appreciation for porcupines.
Intended Audience: Anyone who works with children and those who are interested in learning more about communication techniques and working with young people with prickly personalities and difficult situations.
Objectives:
- Learn how to identify porcupines
- Broaden your communication know-how to skillfully handle prickly people and situations
- Implement your own action plan for de-escalating and redirecting porcupines
Fatal Five
October 2, 2025 | 1:00 PM - 2:30 PM | Virtual Registration through Zoom
Presenters: Morgan Dettbarn, LMSW, and Dale Armstrong, MD, Elevate
Intended Audience: Anyone who works with people with intellectual and developmental disabilities.
Objectives:
- Identify and describe the Fatal Five conditions and their impact on the health and mortality of individuals with intellectual disabilities (ID).
- Recognize the unique challenges individuals with ID face in communicating their symptoms and advocating for their healthcare needs.
- Analyze warning signs and risk factors associated with each of the Fatal Five diagnoses and explain how these may present differently in individuals with ID.
- Apply practical strategies that direct support professionals and caregivers can use.
- Demonstrate knowledge of person-centered advocacy techniques to support individuals with ID in navigating the healthcare system, maintaining consistent care, and ensuring their voices are heard in decision-making processes.
Vocational Rehabilitation 101
October 7, 2025 | 1:00 PM - 2:00 PM | Attend in-person or virtually
- In-Person Registration
- Location: Marshalltown Public Library - Meeting Room B
- Virtual Registration through Zoom
Presenters: April Stotz and Vienna Hoang, Iowa Vocational Rehabilitation
Intended Audience: Anyone interested in learning about the services of vocational rehabilitation.
Objectives:
- Understand what services are available through VR
- Understand VR eligibility criteria
- Learn how to access VR services
- How to braid VR services
Universal Language: It's All in How You Say It
November 10, 2025 | 9:00 AM - 4:00 PM | Attend in-person or virtually
- In-Person Registration
- Location: Polk County River Place - Conference Room
- Virtual Registration through Zoom
Presenters: Thomas Pomeranz, EdD, Universal LifeStiles, President and CEO
Dr. Thomas Pomeranz is a nationally recognized authority, trainer, clinician, and consultant in the field of services for people with disabilities. Over the last fifty years, Tom has conducted thousands of seminars and programs throughout the United States and Canada. His audience praises his ability to combine information, humor, passion, and storytelling into an informative whole that does not just present the information, but really communicates it in a memorable fashion.
Find out more about Tom on his website - https://www.universallifestiles.com
Session Description:
In this humorous and provocative training, Dr. Thomas Pomeranz discusses the importance of using Universal Language. Tom heightens the participant’s sensitivities to the impact of language in promoting respectful relationships. The evolution of slang references that devalue people is discussed. Numerous examples of insensitive language are presented with the Universal Language alternative.
Tom emphasizes that the words and language that we use are a reflection of our belief system and it is upon these beliefs that we base our actions. Thus, Tom helps the participants gain a new insight into their inner beliefs about people with disabilities by increasing their awareness of the words they use. Throughout the session, Tom provides attendees with strategies to master Universal Language as well as sensitively supporting others who struggle in using words of respect. It is the outcome of this session, “that the words and language we use in talking about our friends - the words and language they use in talking about us”, will serve as the standard in how we speak to and about people with disabilities – “It’s all in how you say it.”
Intended Audience: Anyone who works with people with intellectual and developmental disabilities.
Objectives:
- Define Universal Language
- Define politically correct language
- Define people-first language
- Explain why utilizing Universal Language is difficult
- Provide examples of the language utilized in each of the four models of service delivery
- Explain the difference between a world's denotation, connotation, and slang.
- Demonstrate an appropriate strategy to support and encourage others in utilizing Universal Language
- Consistently utilize Universal Language in all verbal and written communication
Session Perks: Attendance at the training session will grant you:
- 1 year of free consultation with Dr. Tom Pomeranz (free, no fee!)
- Access to the slides, recording, and materials related to Universal Language
Technical Assistance (TA)
Free Competency-Based training and Technical Assistance (TA) are offered to providers to enhance positive outcomes for both members and providers. This support helps providers understand compliance with state and federal regulations, improves competency in direct support roles, and enhances statewide access to information.
LTSS providers statewide can request TA, which may include tailored education and support based on their specific needs. Requests for TA can come from LTSS providers, training participants, Home- and Community-Based Services (HCBS) Specialists, Department staff, or others.
Please submit a request by emailing HCBSTTA@hhs.iowa.gov
1. Generating positive outcomes for members
2. Generating positive outcomes for providers
3. Providing a better understanding of, and compliance with, state and federal regulations concerning service provision
4. Increasing staff competencies in direct service
5. Increasing access to state-wide training for direct support professionals
1. Trainings are relevant to Iowa rules and regulations, CMS standards and HCBS philosophy
2. More opportunities for providers to acquire well-trained, competent direct support professionals with measured core competencies
3. Improved access to trainings and information pertinent to member care
4. Competency-based learning with objectives to ensure training topics are relevant to and useful to the agency’s needs
We are excited to have you as part of our CBT provider group. If you would like to enroll for emails providing updates on training, notifications of changes to the schedule, materials added to the website or other helpful information, please reach out to imeprovideroutreach@hhs.iowa.gov to learn how to sign-up to receive CBT Informational Letters.
If you have additional questions regarding this site, the training schedule, or a specific training content or topic question please Email the CBT Specialist, Barbra Brottman at the training and TA email address: HCBSTTA@hhs.iowa.gov
Access CBTs on the Iowa Medicaid Learning Management System (LMS) Training Platform
With the launch of the Iowa Medicaid LTSS learning management system (LMS), all CBTs will be stored on the LMS. Please follow this link.
Registration Instructions and Guides
Please view these short guides and videos to help you register for the new and exciting platform and learn how to utilize different resources!
- Iowa Quick Start Guide
- Trualta Login Training Portal Demonstration Slide Deck
- What is Trualta, and why you should use it?
- Activating your Account on the Portal
- Login to the Portal
- Exploring Training Content on the Platform
- Managing Your Learning
- Accessing Competency-Based Training
- Accessing the Caregiver Essentials course for certification
CBT FAQ
- Service Documentation
- CCO Service Documentation
- Incident Reporting
- Cost Reporting
- Guardianship and Conservatorship
CBT Webinars Archive
Access all previously recorded sessions below.
List items for CBT Webinars Archive
- Developing a Comprehensive Quality Management Plan (8/5/2025)
- Benefits Planning 103 (7/22/2025)
- Benefits Planning 102 (7/15/2025)
- Benefits Planning 101 (7/8/2025)
- Woodward Resource Center of Excellence 6/27/2025
- Adoption Informed Care 6/24/2025
- Introduction to Quality Management 5/6/2025
- Goal Writing & SMART Goals 5/1/2025
- Money Follows the Person 101
- Long Term Services and Supports (LTSS) 101
- Informed Consent 3/24/2025
- Relationships and Advocacy Within Guardianship 3/11/25
- Iowa START & Provider Prevention and Support Services 2/11/25
- Guardianships and Decision-Making Supports 1/31/2025
- Suicide Prevention in a System of Care 1/27/2025
- Member's Rights and Restrictive Interventions 12/18/2024
- HCBS Standards and Quality Oversight Reviews 12/11/2024
- Assistive Technology and Digital Accessibility 11/20/2024
- Iowa HHS Trualta Refresher Training 11/19/2024
- Critical Incident Reporting Update - 10/25/2024
- Ryan White HIV Care Program - 9/18/24
- Fall Prevention Programming - 8/27/24
- System Navigation for Working with Children with Complex Needs - 8/7/24
- Risk Stratification - 7/15/24
- Active Listening Basics and Empathy Building Presentation - 6/10/24
- Older Americans Act and Elderly Waiver - 6/4/24
- Dual Diagnosis - 5/29/24
- Consumer Choice Option (CCO) Budgets - 5/16/24
- Case Management Roles and Responsibilities: Monitoring and Follow-Up - 4/16/24
- Medication Management and Errors within HCBS - 4/12/24
- Supporting Transportation with AbleLink - 4/1/24
- Children At Home - 3/21/24
- Supporting Health and Wellness with StationMD - 3/11/24
- Jail Diversion Program and Crisis Intervention - 2/19/24
- Supporting Independent Living with SafeinHome - 2/12/24
- Host Home Basics - 1/30/24
- Legal Leases and Lease Regulations - 1/26/24
- Residential Assessment Application - 12/12/23
- Consumer Choice Options 101 - 12/5/23
- HCBS Settings Philosophy and Rules - 11/14/23
- Consumer Choice Options for Case Managers - 11/9/23
- Consumer Choice Options for Independent Support Brokers - 10/31/23
- Person-Centered Practices - 10/19/23
- HCBS Settings: Understanding the Rights of Those Served and Supported - 9/28/23
- Introduction to Intensive Rehabilitation Service Homes (IRSH) - 9/26/23
- A life in the Community: Understanding the Olmstead Decision - 8/15/23
- Lean on Me: Resources for Behavioral Supports - 7/10/23
- Cultural Wellness Perspectives - 6/20/23
- Cost Reporting for HCBS Providers - 6/15/23
- Understanding Bipolar Disorder - 5/30/23
- Developing Healthy Attachments and Healing From Attachment Disruption - 5/25/23
- Landlord/Tenant Laws in Iowa - 4/13/23
- Quality Assurance and Quality Improvement (Part 2) - 4/11/23
- Consumer Choices Option (CCO) Documentation - 3/31/23
- Accessibility Gone Viral - 2/23/23
- Understanding Guardianship, Conservatorship and Payee - 1/24/23
- Behavior Intervention Strategies: “Will Manage Emotions,” Is Not Enough - 1/24/23
- Quality Assurance and Quality Improvement (Part 1) - 12/15/22
- Transitions of Care - 12/2/22
- Assistive Technology - 11/18/22
- Service Documentation for Home and Community-Based Services - 11/8/22
- Person-Centered Planning - 10/25/22
- Service Documentation and Service Monitoring - 9/20/22
- Behavior Support Plan Development - 8/31/22
- State Transition Plan Update - 8/2/22
- Introduction to HCBS services - 7/29/22
- Positive Behavioral Supports - 6/16/22
- Mental Health Crisis Response - 5/20/22
- Adopting a Trauma Lens - 4/29/22
- Motivational Interviewing - 4/26/22
-
Call Relay Iowa TTY
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking.
-
ةیبرعلا | 简体中文 | Deutsch | Français
-
हिंदी | unDusdm (Karen) | 한국어 | ພາສາ
-
Llame a Relay Iowa TTY
Teléfono de texto para personas con problemas de audición, del habla y ceguera si necesita asistencia.
-
ລາວ | Pennsylfaanisch Deitsch | Русский
-
Српско-хрватски | Tagalog | ไทย | Tiếng Việt