Chore Services in Iowa 


1.Program Definition and Services 

Chore Services in Iowa provide assistance with household maintenance activities necessary to allow members to remain in their own homes safely and independently. Services include: 

  • Window and door maintenance 
  • Minor repairs to walls, floors, stairs, railings, and handles 
  • Heavy cleaning 
  • Lawn mowing and snow removal 

 

2. Regulations

Chore Services are governed by the Iowa Administrative Code (IAC) 441-78.37(7) for home- and community-based services. 

 

3. Licensing or Certification 

No specific licensing is required, but providers must be enrolled through the Iowa Medicaid Enterprise (IME) to offer chore services. 

 

4. Responsible State Agency 

The Iowa Department of Human Services (DHS) oversees Chore Services programs. 

 

5. Application Process 

Providers must enroll through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit to become a Medicaid provider for chore services. 

 

6. Required Documentation 

Required documentation likely includes: 

  • Completed provider enrollment application 
  • Proof of liability and workers' compensation insurance 
  • Business registration documents 
  • Federal Employer Identification Number (EIN) 

 

7. Timeline for Approval 

The exact timeline for approval is not specified in the provided information. 

 

8. Pre-Application Process 

There is no specific pre-application process mentioned. 

 

9. Pre-Application Training 

No mandatory pre-application training is mentioned. 

 

10. Additional Notes 

  • A unit of service is 15 minutes. 
  • Landscaping is not a covered service. 
  • Providers can include home health agencies, community action agencies, nursing facilities, and community businesses. 
  • Individuals providing self-directed personal care services must be at least 16 years old. 
  • Chore services are available under various HCBS waivers, including the Elderly Waiver and Health and Disability Waiver. 

 

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