These videos provide an overview of the various Home and Community-Based Services (HCBS) available in Iowa for providers interested in learning how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Iowa. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Iowa. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
Respite Care Services in Iowa offer short-term care and supervision to individuals with disabilities, chronic conditions, or age-related needs when their regular caregivers are unavailable. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and are designed to reduce caregiver stress, prevent burnout, and support family stability.
Skill Building & Habilitation
Skill-Building and Habilitation Services in Iowa help individuals with intellectual, developmental, or acquired disabilities develop, retain, and improve the skills needed for daily living and community participation. These services are authorized under Iowa Medicaid’s Home and Community-Based Services (HCBS) Waiver programs and Habilitation Services program.
Supported Employment
Supported Employment Services in Iowa provide individualized assistance to help individuals with disabilities prepare for, obtain, and sustain meaningful employment in integrated community settings. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and the Habilitation Services program and are designed to promote independence, inclusion, and economic self-sufficiency.
Personal Care
Personal Care Services in Iowa help individuals with disabilities, chronic illnesses, or aging-related needs perform essential Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) in their homes or community settings. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and are designed to help participants maintain independence and avoid institutional care.
Adaptive Equipment
Adaptive Equipment Services in Iowa provide medically necessary devices and customized supports that help individuals with disabilities perform daily activities more independently. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) Waiver programs and are tailored to meet each participant’s functional needs in home and community settings.
Intensive Care Coordination
Intensive Care Coordination (ICC) in Iowa is a high-level, team-based approach designed to assist individuals—especially youth—with complex behavioral, medical, and social needs by integrating services across systems. These services are typically authorized under the Children’s Mental Health (CMH) Waiver, the Habilitation Services program, or through integrated health homes for Medicaid-eligible participants.
Day Habilitation Services
Day Habilitation Services in Iowa provide individuals with disabilities access to structured, community-based daytime programming focused on developing and maintaining independent living, communication, and social skills. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) Waiver programs and are delivered outside of participants’ homes to promote personal growth and inclusion.
Chore Services
Chore Services in Iowa provide one-time or occasional assistance with heavy household tasks that an individual cannot perform on their own due to disability, chronic illness, or age-related limitations. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and are intended to prevent hazardous living conditions and support continued community living.
Vehicle Modification
Vehicle Modification Services in Iowa help individuals with disabilities maintain independence and community access by adapting personal or family vehicles for safe and functional use. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) Waiver programs and are essential for participants who rely on personal transportation as part of their daily living.
Behavioral Health Services
Behavioral Health Services in Iowa offer comprehensive support for individuals with mental health conditions, emotional disturbances, or co-occurring behavioral and developmental disorders. These services are authorized under the Iowa Medicaid State Plan, Home and Community-Based Services (HCBS) waiver programs, and the Habilitation Services program to promote emotional stability, functional independence, and long-term recovery.
Home Modification
Home Modification Services in Iowa provide physical adaptations to a participant’s primary residence to enhance safety, accessibility, and independence. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and are designed to help individuals remain in their homes instead of institutional settings.
Nursing Facility Transition
Nursing Facility Services in Iowa provide medically necessary, around-the-clock care in a licensed residential setting for individuals who require skilled nursing or rehabilitative services. These services are funded under Iowa’s Medicaid State Plan and are intended for individuals whose clinical needs exceed the level of care available through home and community-based services (HCBS).
Community Integration
Community Integration Services in Iowa help individuals with disabilities develop and maintain the skills necessary to participate actively in their communities. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) Waiver programs and support inclusion, autonomy, and personal growth outside of institutional settings.
Homemaker Services
Homemaker Services in Iowa provide non-medical support to individuals who are unable to manage household tasks independently due to disability, chronic illness, or age-related limitations. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and support continued community living and reduced reliance on institutional care.
Case Management
Case Management Services in Iowa help individuals with disabilities, chronic conditions, or complex needs access and coordinate the full range of medical, behavioral, social, and community-based services. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) Waiver programs and the Habilitation Services program.
Transportation Assistance
Transportation Assistance Services in Iowa help individuals who are unable to drive or use standard public transit due to disability, chronic illness, or age-related conditions. These services ensure access to Medicaid-covered medical services, community activities, employment, and daily living needs. They are authorized under both the Medicaid State Plan (Non-Emergency Medical Transportation, or NEMT) and Home and Community-Based Services (HCBS) Waiver programs.
Home Health Services
Home Health Services in Iowa provide intermittent skilled nursing, therapy, and home health aide services to individuals who require medical care in a home setting. These services are authorized under Iowa Medicaid’s State Plan and support individuals recovering from illness, managing chronic conditions, or preventing institutionalization.
Meal & Nutrition Services
Meal and Nutrition Services in Iowa provide access to nutritious meals and dietary support for individuals who are unable to prepare or obtain adequate food independently due to disability, chronic illness, or age-related challenges. These services are authorized under Iowa’s Home and Community-Based Services (HCBS) waiver programs and are designed to promote health, stability, and independent living.