Becoming a Respite Care Services Agency Provider in Iowa


1.Program Definition and Services 

Respite care services in Iowa are defined as an organized program of temporary supportive care provided for 24 hours or more to a person to relieve the usual caregiver of the person from providing continual care. Services may include: 

  • Temporary care in the client's home 
  • Care in licensed health care facilities 
  • Care in camps certified by the American Camping Association 
  • Care in adult day care centers 

 

2. Regulations 

The program is governed by Iowa Administrative Code (IAC) 441—77.30(249A) for HCBS health and disability waiver service providers. and IAC 481—57.44 for residential care facilities providing respite care services. 

 

3. Licensing or Certification 

Certification is required to operate as a respite care services provider in Iowa. A separate license is not required if the provider is already licensed as a health care facility. 

 

4. Responsible State Agency 

The Iowa Department of Human Services (DHS) is responsible for certifying respite care service providers 

 

5. Application Process 

The application process is conducted through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit. Providers must submit an enrollment application to become a Medicaid provider 

 

6. Required Documentation 

The following documents are required for the application: 

  • Completed provider enrollment application 
  • Proof of liability insurance 
  • Staff qualifications and certifications
  • Background check results for all staff 
  • Business registration documents 
  • Federal Employer Identification Number (EIN) 
  • Proof of compliance with applicable state regulations 

 

7. Timeline for Approval 

The timeline for approval is not explicitly stated in the provided information. However, applicants should allow for processing time once all required documentation is submitted. 

 

8. Pre-Application Process 

There is no specific pre-application process mentioned in the provided information. 

 

9. Pre-Application Training 

No mandatory pre-application training is mentioned in the provided information. 

 

10. Additional Notes 

  • Respite care services can be provided for no more than 30 consecutive days and for a total of no more than 60 days in a consecutive 12-month period 
  • Providers must meet specific staff requirements, including age restrictions and qualifications 
  • Providers must maintain clinical and fiscal records to fully disclose the extent of services furnished to members 
  • Respite care services cannot be provided to persons requiring a level of care higher than the facility is licensed to provide 

 

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