Home and Community Based Services (HCBS) for Members

The Iowa Home & Community Based Services (HCBS) are Medicaid programs that give you more choices about how and where you receive services. Home and Community Based Services are for people with disabilities and older Iowans who need services to allow them to stay in their home and community instead of going to an institution. There are several programs that provide home and community based services. The program names are HCBS Waivers (there are seven), Habilitation, PACE, Home Health, Hospice, and Targeted Case management.

Home and Community Based Waivers

Iowa currently has seven Home and Community Based Waivers and a Consumer Choices Option, which gives you more control over how to choose your services, explained below. You must be eligible for Medicaid and also meet the requirements for the waiver you are applying for and/or receiving.

Are Home and Community-based services right for you? Read this brochure to learn more about the services. Learn more about the seven individual waivers.

Is the Consumer Choice Option right for you? Read this flyer to learn more about the services.

Habilitation Services

Habilitation Services provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses. Learn more at http://www.ime.state.ia.us/HCBS/HabilitationServices/Info.html


What is the PACE program? This program helps you and health providers come together for preventive care, primary care, social services, therapeutic recreation, acute and long-term care services. This program aims to protect and improve your health; and your quality of life. The goal of PACE is to keep you in your home. PACE is only available in a limited area. Learn more at: http://www.ime.state.ia.us/PACE/index.html

Home Health

This program covers both children and adult members who need medical supports provided in the home by Medicare-certified home health agencies. Services included in this program are skilled nursing, home health aide, and occupational therapy, physical therapy, speech therapy and medical social services. Learn more at: http://www.ime.state.ia.us/Providers/HomeHealth.html


A hospice provides palliative and supportive services to meet the physical, psychosocial, social, and spiritual needs of a terminally ill person and the persons family or others caring for the person, regardless of where the person resides. Hospice services are those services to control pain and provide support to people to continue life with as little disruption as possible. Payment for hospice services will be approved for Medicaid recipients who are certified terminally ill and who elect hospice care rather than active treatment for the illness.

Targeted Case Management

Case management is a method to manage multiple resources effectively for the benefit of Medicaid members. The service is designed to ensure the health, safety, and welfare of members by assisting them in gaining access to appropriate and necessary medical services and interrelated social, educational, housing, transportation, vocational, and other services. Targeted case management services are available for Medicaid members with intellectual disabilities, chronic mental illness, or a developmental disability ,and members eligible for the Home and Community Based Services (HCBS) children's mental health waiver. Learn more at: http://www.ime.state.ia.us/HCBS/TargetedCaseManagement.html

Additional Resources:

Are there waiting lists for waivers? This can vary by program and by utilization rates. Here is our updated chart about waiting lists. Your DHS worker can help you understand waiting lists.

How do you apply online?https://secureapp.dhs.state.ia.us/oasis/

Where do you get assistance?http://www.dhs.state.ia.us/Consumers/Find_Help/MapLocations.html

Learn more about HCBS Waiver providers:http://www.ime.state.ia.us/HCBS/HCBSContacts.html

Are you struggling with housing issues? 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 800-432-7230

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