Home and Community-Based Services (HCBS) Provider Quality Management Self-Assessment


The HCBS Provider Quality Management Self-Assessment form allows the state to gather data to support the quality framework performance measures as required by the Centers for Medicare and Medicaid Services (CMS). The self-assessment requires a provider to identify the applicable policies and procedures that have been established by the agency upon enrollment to ensure compliance with laws, rules, regulations, and best practices. The self-assessment is required during enrollment and then annually thereafter.

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Document Name ↓ Agency Name ↑↓ County ↑↓ State ↑↓
Abilit Holdings Oelwein LLC dba Arlington Place of Oewlein.pdf ABILIT HOLDINGS OELWEIN LLC DBA ARLINGTON PLACE OF OEWLEIN FAYETTE IOWA
Bethany Life Timberland Village Cedar Place.pdf BETHANY LIFE TIMBERLAND VILLAGE CEDAR PLACE STORY IOWA
Carroll County Council for the Prevention of Abuse dba Family Resource Center.pdf CARROLL COUNTY COUNCIL FOR THE PREVENTION OF ABUSE DBA FAMILY RESOURCE CENTER CARROLL IOWA
Colonial Manors of Fayette, Inc..pdf COLONIAL MANORS OF FAYETTE, INC. FAYETTE IOWA
Comfort Care Medicare, Inc..pdf COMFORT CARE MEDICARE, INC. LINN IOWA
Community Adult Residential Environment CARE.pdf COMMUNITY ADULT RESIDENTIAL ENVIRONMENT CARE UNION IOWA
Dignity Care Group, Inc..pdf DIGNITY CARE GROUP, INC. DOUGLAS NEBRASKA
Good Shepherd.pdf GOOD SHEPHERD CERRO GORDO IOWA
HARRISON COUNTY HOMEMAKERS DBA HARRISON COUNTY HOMEMAKER AGENCY.pdf HARRISON COUNTY HOMEMAKERS DBA HARRISON COUNTY HOMEMAKER AGENCY HARRISON IOWA
Innovative Industries Inc..pdf INNOVATIVE INDUSTRIES INC. UNION IOWA
Mid-Step Services, Inc..pdf MID-STEP SERVICES, INC. WOODBURY IOWA
New Venture.pdf NEW VENTURE WAYNE IOWA
Parker Place Retirement Community.pdf PARKER PLACE RETIREMENT COMMUNITY BUTLER IOWA
Pathway Living Center, Inc.pdf PATHWAY LIVING CENTER, INC CLINTON IOWA
Skyline Center Inc..pdf SKYLINE CENTER INC. CLINTON IOWA
Stonehill Communities.pdf STONEHILL COMMUNITIES DUBUQUE IOWA
Village Ridge.pdf VILLAGE RIDGE LINN IOWA
Vocational Development Center Inc..pdf VOCATIONAL DEVELOPMENT CENTER INC. POTTAWATTAMIE IOWA
Your Home Host Home Services LLC.pdf YOUR HOME HOST HOME SERVICES LLC HARRISON IOWA
Your Home Host Home Services LLC.pdf YOUR HOME HOST HOME SERVICES LLC HARRISON IOWA