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Elderly HCBS Waiver - Iowa

The elderly waiver pays for services to elderly Iowa residents so they can stay in the home instead of entering a nursing facility.

To be eligible for elderly waiver services, a person must meet all of the following requirements:

·           Be 65 years of age or older.

·           Be under the case management of a member of a case management project for the frail elderly, as determined by the Long-Term Care Coordinating Unit.

·           Be certified by the Iowa Foundation for Medical Care (IFMC) in need of the level of care that would, but for the waiver, otherwise be provided in a nursing facility.

·           Have service needs that are available and appropriate, and within the cost limits.

·           Be eligible for Medicaid as if the person were in a medical institution.

·           Be a resident of the state of Iowa.

General eligibility policies for Medicaid apply to eligibility for waiver services. The applicant does not need to be ineligible for any other Medicaid program as a condition of waiver eligibility.

See Also:

·           HCBS Waivers Overview

·           Overview of Medical Assistance in Iowa

·           Welcome and Introduction to Benefits in Iowa

Source: Iowa Dept of Human Services Employees’ Manual

Title 8 Medicaid

·                        Chapter N, page 34

Regulation citations: 441 IAC Chapter 83, Division II

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