Iowa Department of Human Services

Waiver/Program Information Packets
HCBS Waiver Brochure - ^{_{[ 1.1mb]}}

Waiver Information Packets	Size
Ill & Handicapped (IH) Waiver Spanish Version
AIDS-HIV (AH) Waiver Spanish Version
Elderly (E) Waiver Spanish Version
Intellectual Disability (ID) Waiver Spanish Version
Brain Injury (BI) Waiver Spanish Version
Physical Disability (PD) Waiver Spanish Version
Children's Mental Health (CMH) Waiver Spanish Version
Remedial Services Program (RSP)

Waiver/Program Brochures

Document	Size
CMH Brochure
RSP Brochure Spanish Version

Program Comparison Charts

HCBS Programs (six of the Iowa Medicaid waivers)
Mental Health Supports (Iowa Plan, Habilitation Services, Remedial Services Program, and CMH waiver)

HCBS Funding Slots
Updates on member enrollment and funding slot capacity for each of the HCBS waivers:

Slot and Waiting List information

Reports and Publications

The Reports and Publications section of the IME web provides links to forms, reports, rates, grants, RFIs and RFPs, brochures, manuals, and publications. These links are targeted at both service providers and members.

HCBS Documents

Document	Description	Size
Personnel Checklists: SE & SCL [Word] SE & SCL [PDF] RBSCL [Word] RBSCL [PDF]	Personnel checklists for providers enrolled to provide Supported Employment (SE) services, Supported Community Living (SCL) services and Residential-Based Supported Community Living (RBSCL) services. Used to document dates of required trainings for workers providing any of these services.
HCBS Waiver Statistical Years	Beginning and ending of the statistical years for each of the six HCBS waivers.
SEA Form	Supported Employment Readiness Analysis
Medicaid HCBS Waiver Provider Application	Medicaid HCBS Waiver Provider Application Form 470-2917
Children's Mental Health Waiver Assessment	HCBS Children's Mental Health Waiver Assessment Tool 470-4211
Brain Injury Functional Assessment	HCBS Brain Injury Level of Care Assessment Tool 470-3349	^_[ 571kb]
Mental Retardation Functional Assessment	HCBS Mental Retardation Level of Care Assessment Tool 470-3073	^_[ 500kb]
Elderly Waiver Amendment	Application for a ?1915 (c) HCBS Waiver	^_[ 1.6mb]
Application for a ?1915 (c) HCBS Waiver	This is a request to amend our current Elderly waiver to add a self direction option and case management service.	^_[ 1.6mb]
Consumer-Directed Attendant Care (CDAC) Handbooks: CDAC Provider Handbook CDAC Consumer Handbook	Consumer-Directed Attendant Care Handbooks.
ISIS Questions and Answers	Answers and clarifications to the questions regarding ISIS, as gathered from the field staff.
ISIS User ID Form	User ID request form to add new workers to the Individualized Services Information System (ISIS). Save locally, fill out, then send as an attachment to ISISHelpDesk@dhs.state.ia.us.