Waiver Redesign Public Comments Open

Many families and individuals who use Iowa’s Disability Waiver, or who are on the waitlist, may have heard about a big change coming called HOME.

As part of the Hope and Opportunity in Many Environments (HOME) project, Iowa HHS proposes replacing four of the current six disability based HCBS waivers— Health and Disability waiver, Children’s Mental Health waiver, AIDS/HIV waiver and Physical Disability waiver —with the Children and Youth waiver and Adults with Disabilities waiver. The HOME public comment period is now open and will be available through Friday, February 13, 2026. 

Links to leave comments and overview guides are available below.

·       Public Comment Page

·       Public Comment Overview Guide

·       Child and Youth Waiver 

·       Adult Waiver

·       Elderly (age 65+) waiver

·       Phase 1 Waiver Services Overview Guide

·       Phase 2 Waiver Services Overview Guide

·       Waiver Assessments Quick Guide

·       HOME Project - Waiver Redesign FAQ

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