The Intellectual Disability Waiver is a Medicaid program that provides services and supports to eligible individuals with intellectual disabilities in Iowa.
The Intellectual Disability Waiver (IDW) is one of seven Medicaid Home and Community-Based Services (HCBS) waivers in Iowa. The purpose of this waiver is to provide services and supports that empower individuals with intellectual disabilities to live in their own homes or other community settings rather than in institutions. The IDW serves individuals who meet the following criteria:
The IDW is designed to meet each participant's individual needs and preferences. The participant and their family, guardian, or advocate work with a case manager to develop a person-centered service plan outlining the goals, outcomes, and services the participant will receive under the waiver.
To be eligible for the IDW, an individual must meet the following requirements:
To apply for the IDW, an individual must complete an application form and submit it to their local Department of Human Services (DHS) office. The DHS will then conduct an assessment to determine the individual's eligibility and level of care needs. If the individual is found eligible, they will be put on a waiting list until a slot becomes available. The waiting time may vary depending on the availability of funding and services.
The IDW offers various services and supports that help individuals with intellectual disabilities live independently and participate in their communities. Some of the services and supports available under the IDW are:
The IDW also covers other services such as assistive devices, behavioral intervention, chores, communication devices, crisis intervention, environmental accessibility adaptations, family and individual counseling, financial management services, home, and vehicle modification, homemaker, independent living skills training, interdisciplinary team, interpreter services, nutritional counseling, personal emergency response system, respite care, specialized medical equipment, and supplies, supported community living, and vehicle modification.
The number and type of services each participant receives under the IDW depends on their needs and preferences. The participant's case manager will help them choose the most appropriate and cost-effective services that meet their goals and outcomes. The IDW has a cost cap that limits the amount of money spent on each participant's services. The cost cap for the IDW is $47,000 per year in 2023.
One of the benefits of the IDW is that it allows participants to self-direct some of their services, such as CDAC and respite. Participants can choose who provides these services, including their family or friends. In other words, family caregivers can get paid to care for their loved ones under the IDW.
However, there are some limitations and conditions that apply to this option. For example:
Family caregivers' compensation for providing services under the IDW depends on several factors, such as the type and frequency of service, the FMS agency's fee schedule, and the participant's budget. The average hourly rate for CDAC providers in Iowa is $11.50 in 2023. The average hourly rate for respite providers in Iowa is $9.50 in 2023.
If you are a family caregiver for a person with an intellectual disability, you may be eligible for this program that can provide you with valuable services and support, including compensation for your caregiving work. Please fill out this form to determine if you qualify for this program, and we will contact you soon.