Iowa Medicaid waivers
Iowa runs 8 Medicaid home and community-based services (HCBS) waiver programs in our records; 5 have a state-published waiting list.
- Waiver programs
- 8
- With a waiting list
- 5
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Iowa waiver programs
Iowa runs 8 Medicaid home and community-based services (HCBS) waiver programs in our records; 5 have a state-published waiting list.
| Waiver | Authority | Who it serves | Waiting list | Approved through |
|---|---|---|---|---|
| Home and Community Based Services - Brain Injury (BI) WaiverIA.0299Services: adult day care, case management, prevocational services, respite, supported employment, specialized medical equipment, financial management service, independent support broker… | 1915(c) | Individuals with brain injury ages 0 or older who meet a nursing facility or ICF/IID level of care | 4,366as of Sep 3, 2026 | Sep 30, 2029 |
| Children's Mental Health WaiverIA.0819Services: respite, environmental modifications and adaptive devices, family and community support service, medical day care for children, in-home family therapy | 1915(c) | Individuals with serious emotional disturbance ages 0-17 years who meet a hospital level of care | 1,112as of Sep 3, 2026 | Sep 30, 2028 |
| Home and Community Based Services – Elderly WaiverIA.4155Services: adult day care, case management, homemaker, respite, home health aide, nursing care, financial management service, independent support brokerage… | 1915(c) | Individuals ages 65 or older who meet a nursing facility level of care | 0as of Sep 3, 2026 | Sep 30, 2028 |
| HCBS Habilitation programServices: Home-based habilitation | 1915(i) | Iowans with functional limitations typically associated with chronic mental illness | — | — |
| Home and Community Based Services - Health and Disability (HD) WaiverIA.4111Services: adult day care, homemaker, respite, counseling service, home health aide, nursing, financial management services, independent support broker… | 1915(c) | Individuals with physical disabilities ages 0-64 years who meet a nursing facility or ICF/IID level of care | 13,038as of Sep 3, 2026 | Sep 30, 2027 |
| Home and Community Based Services – AIDS/HIV WaiverIA.0213Services: adult day care, homemaker, respite, counseling, home health aide, nursing, financial management services, independent support broker… | 1915(c) | Individuals with HIV/AIDS ages 0 or older who meet a hospital or nursing facility level of care | 0as of Sep 3, 2026 | Jun 30, 2030 |
| Home and Community Based Services – Intellectual Disabilities (ID) WaiverIA.0242Services: adult day care, day habilitation, prevocational services, respite, supported employment, home health aide, nursing, financial management services… | 1915(c) | Individuals with intellectual disabilities ages 0 or older who meet an ICF/IID level of care | 8,800as of Sep 3, 2026 | Jun 30, 2029 |
| Home and Community Based Services - Physical Disability WaiverIA.0345Services: financial management services, independent support broker, attendant care, consumer-directed attendant care (skilled), consumer-directed attendant care (unskilled), home and vehicle modification, individual directed goods and services, personal emergency response system… | 1915(c) | Individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care | 3,215as of Sep 3, 2026 | Sep 30, 2028 |
Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.
Frequently asked questions
What Medicaid waivers does Iowa have?
Iowa runs 8 Medicaid home and community-based services (HCBS) waiver programs in our records; 5 have a state-published waiting list. They are: Home and Community Based Services - Brain Injury (BI) Waiver; Children's Mental Health Waiver; Home and Community Based Services – Elderly Waiver; HCBS Habilitation program; Home and Community Based Services - Health and Disability (HD) Waiver; Home and Community Based Services – AIDS/HIV Waiver; Home and Community Based Services – Intellectual Disabilities (ID) Waiver; Home and Community Based Services - Physical Disability Waiver.