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What Support and Funding is Available?

Medicaid is health insurance based on income and is a health care program for people with limited income and resources.


Home-and Community-Based Services (HCBS) are Medicaid programs that give you more choices about how and where you receive services. HCBS programs are for people with disabilities and older Iowans who need services to allow them to stay in their home and be as independent as possible. 

Who Qualifies for Medicaid?

• A person who is disabled according to Social Security standards

• An adult between the ages of 19 and 64 and whose income is at or below 133 percent of the Federal Poverty Level (FPL)

• A person who is a resident of Iowa and a U.S. citizen

Where Do I Apply for Medicaid Funding?

What are Waiver Services?

Iowa currently has seven HCBS Waivers in the Waiver Program:


Health and Disability (HD) Waiver

      - Be under age 65

      - Be determined disabled by Disability Determination Services

AIDS/HIV (AH) Waiver

     - Be diagnosed by a physician as having AIDS/HIV


Elderly (E) Waiver

      - Be 65 years of age or older

Intellectual Disability (ID) Waiver

      - Have a diagnosis of an intellectual disability by a psychologist/psychiatrist


Brain Injury (BI) Waiver

      - Be determined to have a brain injury diagnosis identified in 441 Iowa Admin Code


Physical Disability (PD) Waiver

      - Be between the age of 18 through 64 years

      - Have a physical disability

      - Be ineligible for the HCBS intellectual disability waiver

Home Based Habilitation

How Do I Enroll or Apply for Waiver Services?

Contact HHS (former DHS) for the waiver application here >>


Download the Application

(*The HHS waiver application is within the Medicaid application, beginning in Appendix A of the application.)

If I Have a Qualifying Waiver, How Do I Sign Up For Skyline Services?

Contact Skyline at 563-243-4065 or send an email to

Skyline offers an array of services under the following funding sources:

•  Intellectual Disabilities Waiver

•  Brain Injury Waiver

•  Home Based Habilitation

•  Health & Disability Waiver

•  Elderly Waiver

•  Physical Disability Waiver

•  AIDS/HIV Waiver

•  Chapter 24 – SCLS

•  Eastern Iowa MH/DS Region

•  Medicare/Medicaid Home Health Services

•  Private Pay/Other Insurances

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