What Programs Are Available To Assist People With Disabilities in Iowa?

Is there a Medicaid waiver program in Iowa? Iowa currently has seven Home and Community Based Waivers and a Consumer Choices Option. The waivers include:

  • Physical Disabilities (PD);
  • Health and Disability (HD);
  • Children's Mental Health (CMH);
  • Elderly;
  • Intellectual Disabilities (ID);
  • Brain Injury (BI)

What state department operates the Medicaid waiver program? The Department of Human Services, Iowa Medicaid Enterprise, operates the Iowa Medicaid waiver program.

What programs assist people who have developmental disabilities? Programs that assist persons with disabilities in Iowa include: HCBS Intellectual Disabilities Waiver (if co-occurring ID diagnosis that drives need for service) & the Health and Disability Waiver.

What is the best number to call to get started? You will want to contact the IM Customer Service Center (IMCSC) at 1-877-347-5678

Is there a website?
Home and Community Based Waivers AND
HCBS Brochure

Who Qualifies For Assistance?

What is considered a developmental disability? To qualify for the Intellectual Disability waiver a primary disability of intellectual disability determined by a psychologist or psychiatrist is requred. For additional requirements see the comparison chart. To review requirments for other Iowa waivers, please see the comparison chart for specifics. Waiver eligibility requirements vary by program.

Are there income limits to receive services? You must be determined eligible for Medicaid (Title XIX). Members may be Medicaid eligible prior to accessing waiver services or be determined eligible through the application process for the waiver program.

How old do you have to be to start receiving services? There may be age restrictions depending on the which waiver the individual is seeking enrollment. The Intellectual Disability waiver does not have an age limit. See comparison chart.

Is There a Waiting List For Services?

How long is the waiting list? The length of wait prior to a slot assignment depends on which waiver the individual is seeking enrollment. As of December 2013 the Intellectual Disability waiver does not have a waiting list.

How many people are on the waiting list? As of December 2013 the Intellectual Disability waiver does not have a waiting list. There are currently wait lists for the BI, CMH, HD, and PD Waivers. See the monthly wait list chart for up to date information.

How many people are currently receiving services? There are about 12,000 people currently getting Medicaid waiver services on Iowa's INTELLECTUAL DISABILITY waiver. There are a total of about 27,000 people getting Medicaid HCBS waiver services in Iowa-Physical Disabilities (PD); Health and Disability (HD); Children's Mental Health (CMH); Elderly; Intellectual Disabilities (ID); AIDS/HIV; and Brain Injury (BI) waivers.


What Services Are Offered & What Are The Service Limitations?

What services does the Iowa Medicaid waiver program offer? INTELLECTUAL DISABILITY waiver services include: Adult Day Care; Consumer Choices Option; CDAC; Day Habilitation; Emergency Response; Home Health Aide; Home/Vehicle Modifications; Interim Medical Monitoring & Treatment (IMMT); Nursing; Prevocational Services; Respite: Basic Individual; Respite: Group; Respite: Specialized; Supported Community Living; Supported Community Living: Residential-Based (RBSCL) for children; Supported Employment (SE); and Transportation. See the comparison chart to review services on other Iowa waivers.

What services are available to people living in the family home? All services are available to individuals living in the family home.

Does Iowa offer community group homes? Residential Care Facility (RCF) living is an option within the state if the member chooses to live in a licensed facility.

Does Iowa offer supported living? SUPPORTED COMMUNITY LIVING- SCL provides one to twenty-four hours of support per day based on the member’s needs. This service is designed to assist the member with daily living needs. Assistance may include, but is not limited to: personal and home skills, community skills, personal needs, transportation and treatment services.

Are there still state owned institutions? The Iowa Department of Human Services operates two State Resource Centers (SRCs), in the cities of Glenwood and Woodward. The SRCs provide a full range of active treatment and habilitation services for individuals with intellectual disabilities at the level of care provided by an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/ID). On June 30, 2013, 428 individuals resided at the State Resource Centers. The State Resource Center per diem is bundled and covers the total cost of service, including physician, medication, dental, adaptive equipment and other medical costs. Medicaid is billed separately by community medical providers for individuals served by private ICFs/ID. Thus, private ICFs/ID do not include these costs in their per diem. The daily per diem rate is $762 at Glenwood and $817 at Woodward.

How Do You Select A Provider?

Do providers work for the state? No

About how many providers are there in the state? There are about 500 HCBS agency providers in Iowa.

Do you have a choice in providers? Yes, provider choice is a requirement of HCBS member services planning. Rural areas, however, may have limited options when compared to urban areas. Search Medicaid providers by program and area.

How Do You Become A Provider?

Fill out an application to become a provider.
Call (800) 338-7909 for information.

Additional Information

Online Application for State of Iowa Services

IA Providers

Iowa Providers


Area Residential Care 563.556.7560
Serving Iowa
Our community-based residential and vocational programs, help people with disabilities become active, participating members of the community.

The Pride Group 712-546-6500
Serving Iowa
The Community Based Services division provides residential support and programming for persons living in apartments or houses in the community.