Skills Building & Habilitation in Iowa


1. Program Definition and Services 

Skills Building & Habilitation in Iowa, also known as Habilitation Services, is a program designed to provide Home- and Community-Based Services (HCBS) for Iowans with functional impairments typically associated with chronic mental illnesses. The services aim to assist participants in acquiring, retaining, and improving self-help, socialization, and adaptive skills necessary for successful community living. Services provided under this program include: 

  • Case Management 
  • Home-Based Habilitation 
  • Day Habilitation 
  • Prevocational Services 
  • Supported Employment 

 

2. Regulations 

The program is governed by Iowa Administrative Code (IAC) 441—78.27 for home- and community-based habilitation services. 

 

3. Licensing or Certification 

Certification is required to operate as a habilitation services provider in Iowa. Providers must be enrolled through the Iowa Medicaid Enterprise (IME) to provide habilitation services. 

 

4. Responsible State Agency 

The Iowa Department of Human Services (DHS) is responsible for overseeing the Habilitation Services program. 

 

5. Application Process 

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

 

6. Required Documentation 

While specific documentation requirements are not explicitly listed, providers likely need to submit: 

  • Completed provider enrollment application 
  • Proof of accreditation or certification 
  • 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 in the provided information. 

 

9. Pre-Application Training 

No mandatory pre-application training is mentioned. However, direct support staff are required to complete specific training after employment. 

 

10. Additional Notes 

  • Services must be provided in integrated, community-based settings. 
  • Direct support staff must meet minimum qualifications, including age restrictions and training requirements. 
  • Providers must maintain clinical and fiscal records to fully disclose the extent of services furnished to members. 
  • Day habilitation services focus on community inclusion, skill development, and increasing independence and potential for employment. 

 

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