Iowa Case Management Services Policy Manual

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The Iowa Case Management Services Policy Manual provides a comprehensive framework for the delivery, oversight, and regulation of case management services to individuals with disabilities, chronic health conditions, behavioral health needs, and those receiving long-term services and support across the State of Iowa. These services are designed to ensure coordinated, person-centered care that promotes independence, health, and community integration. The manual is aligned with the Iowa Administrative Code (IAC), policies established by the Iowa Department of Health and Human Services (HHS), and applicable federal regulations under 42 CFR § 440.169 and 42 CFR Part 441, governing Targeted Case Management (TCM) and Home and Community-Based Services (HCBS).
 
This manual outline key policies and procedures related to participant eligibility and enrollment, case manager qualifications and training, comprehensive assessment and service planning, coordination of services and supports, monitoring and reassessment protocols, documentation and billing standards, quality assurance and program integrity, and participant rights and informed choice. Case managers play a vital role in advocating for participants, facilitating access to needed services, and ensuring that services align with individual goals, preferences, and support needs.
 
The manual serves as an essential resource for case management providers, managed care organizations, and program administrators, supporting the consistent, compliant, and high-quality delivery of case management services