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 ↑↓
Advancement Services of Jones County.pdf ADVANCEMENT SERVICES OF JONES COUNTY JONES IOWA
Bledsoe Premier Home Health.pdf BLEDSOE PREMIER HOME HEALTH DES MOINES IOWA
DT Valley LLC dba Azria Health Longview.pdf DT VALLEY LLC DBA AZRIA HEALTH LONGVIEW HARRISON IOWA
Family Solutions Services 1, Inc..pdf FAMILY SOLUTIONS SERVICES 1, INC. SIOUX IOWA
First Resources Corp.pdf FIRST RESOURCES CORP KEOKUK IOWA
Goodwill of the Great Plains.pdf GOODWILL OF THE GREAT PLAINS WOODBURY IOWA
Homecare Options, Inc..pdf HOMECARE OPTIONS, INC. CARROLL IOWA
Lakeview Village.pdf LAKEVIEW VILLAGE IOWA IOWA
NEEMA Corporation.pdf NEEMA CORPORATION LINN IOWA
NextStepCounselingServices.pdf NEXTSTEPCOUNSELINGSERVICES POLK IOWA
Plains Area Mental Health Inc..pdf PLAINS AREA MENTAL HEALTH INC. PLYMOUTH IOWA
Ragtime Industries.pdf RAGTIME INDUSTRIES MONROE IOWA
Spectrum Industries dba The Spectrum Network.pdf SPECTRUM INDUSTRIES DBA THE SPECTRUM NETWORK WINNESHIEK IOWA
St. Anthony Home Health.pdf ST. ANTHONY HOME HEALTH CARROLL IOWA
The Arc of East Central Iowa.pdf THE ARC OF EAST CENTRAL IOWA LINN IOWA
The Lakeside Village.pdf THE LAKESIDE VILLAGE GUTHRIE IOWA
Unlimited Development Inc. DBA River Hills Village Assisted Living.pdf UNLIMITED DEVELOPMENT INC. DBA RIVER HILLS VILLAGE ASSISTED LIVING LEE IOWA
Wellington Place Assisted Living.pdf WELLINGTON PLACE ASSISTED LIVING WINNESHIEK IOWA
Windsor Manor Grinnell.pdf WINDSOR MANOR GRINNELL POWESHIEK IOWA
WoodwardCommunityBasedServices.pdf WOODWARDCOMMUNITYBASEDSERVICES POLK IOWA