Community Integration Services in Iowa 


1.Program Definition and Services 

Community Integration Services in Iowa support people with disabilities to live, work, and participate fully in their communities. Services include: 

  • Assistance transitioning from institutions to community-based settings 
  • Support for independent living skills 
  • Help accessing community resources and activities 
  • Vocational support and job coaching 
  • Social skills development 
  • Advocacy for individual rights and choices 

 

2. Regulations 

Community Integration Services are governed by: 

  • Iowa Administrative Code (IAC) 441-Chapters 77, 78, and 83 for Home and Community-Based Services (HCBS) 
  • Americans with Disabilities Act (ADA) and Olmstead decision requirements

 

3. Licensing or Certification 

Providers must be enrolled through the Iowa Medicaid Enterprise (IME) to offer Community Integration Services. Specific certifications may be required depending on the type of service provided. 

 

4. Responsible State Agency 

The Iowa Department of Health and Human Services (HHS) oversees Community Integration Services. 

 

5. Application Process 

Providers must enroll through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit to become Medicaid providers for Community Integration Services. 

 

6. Required Documentation 

Required documentation likely includes: 

  • Completed provider enrollment application 
  • Proof of liability insurance 
  • Staff qualifications and certifications 
  • 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 

While no mandatory pre-application training is mentioned, staff providing Community Integration Services must meet specific qualifications and may require ongoing training. 

 

10. Additional Notes 

  • Services must be provided in integrated, community-based settings that support full access to the greater community 
  • Providers must comply with the HCBS settings rule, which emphasizes person-centered planning and community integration 
  • Centers for Independent Living (CILs) are required to provide transition services, including moving people out of institutions and into the community 
  • Iowa has implemented changes to ensure all HCBS waiver and Habilitation members receive services in integrated community-based settings 
  • The state uses various quality oversight processes to ensure compliance with HCBS settings requirements 

 

To get started, click the link to request portal access