HCBS (Home & Community Based Services)

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Individuals served within our HCBS program must have primary diagnosis of Intellectual Disability, Brain Injury or Chronic Mental Illness. We provide SCL (Daily and hourly) and respite services to both children and adults.

Our mission is “Individual Achievement.” We assist individuals to accomplish this by working closely with the individual receiving services, parents/guardian, Case Manager and other team members to coordinate services that focus on maximizing independence through skills including but not limited to household, community involvement, budgeting, cooking skills, health and safety, etc.


HCBS Factsheet

Home and Community Based services are a Medicaid program designed to assist both children and adults with disabilities live in and become vital members in their communities. This program allows individuals with disabilities to receive precisely the services they need to enable them to live in a setting of their choice and be as independent as possible.
An Interdisciplinary Team (IDT) is developed for each person served. The IDT is comprised of the individual receiving services, service providers, and family members. The individual may invite other parties that they deem important. Through discussion, the team designs goals and objectives based upon the desires, abilities and specific needs of the individual receiving services. These goals and objectives become the framework for the services provided.
Imagine the Possibilities employs administrative level staff that has the responsibility of overseeing and coordinating the HCBS program. These individuals supervise the direct support staff and participate in the delivery of services by coordinating IDT meetings, counseling, medical appointments, interagency coordination and the writing and monitoring of the Individual Program Plan as outlined by the IDT. Service schedules are based on the needs of the individual and need to be reflective of the goals and objectives that have been developed by the IDT.
Home and Community Based Services are funded primarily through the Federal Medicaid Program and the State of Iowa. Some individuals may be funded through county or private funding sources.
Individuals eligible for Home and Community Based Services must have a diagnosis of Intellectual Disability, Brain Injury or Chronic Mental Illness. HCBS services are voluntary. Individuals must have access to funding through the Medicaid Waiver program prior to admission to an HCBS program.
Home and Community Based Services are provided in local communities and at the choice of the individual accessing them. Home and Community Based Services can be provide in the individual’s home in which the individual resides.

Eastern Region

The HCBS program in the Eastern Region currently services approximately 125 individuals in the Daily SCL program and approximately 100 individuals in the Hourly SCL program. Services are provided in the following communities: Dubuque, Bellevue, Preston, Maquoketa, Clinton, Davenport and Dewitt.

Central Region

The HCBS program in the Central Region currently services approximately 25 individuals in the Daily SCL program and approximately 35 individuals in the Hourly SCL program. Services are provided in Mahaska County, which includes Oskaloosa, New Sharon, Eddyville, and Rose Hill.

Northeastern Region

The HCBS program in the Northeastern Region currently services approximately 55 individuals in the ID Waiver Daily SCL and Home-Based Habilitation programs and approximately 4 individuals in the ID Waiver Hourly SCL and Home-Based Habilitation programs. Services are provided in the following communities: Guttenberg, Garnavillo, Edgewood, Manchester, and Strawberry Point.