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 ↑↓
Youth Shelter Care of North Central Iowa, Inc..pdf YOUTH SHELTER CARE OF NORTH CENTRAL IOWA, INC. WEBSTER IOWA
White Oaks Estates, Inc..pdf WHITE OAKS ESTATES, INC. MAHASKA IOWA
The Views Operater C, LLC dba Ridgeview Assisted Living.pdf THE VIEWS OPERATER C, LLC DBA RIDGEVIEW ASSISTED LIVING DES MOINES IOWA
Southern Iowa Independent Living Inc.pdf SOUTHERN IOWA INDEPENDENT LIVING INC APPANOOSE IOWA
Rural Employment Alternatives Inc.pdf RURAL EMPLOYMENT ALTERNATIVES INC IOWA IOWA
Pleasant View Care Center.pdf PLEASANT VIEW CARE CENTER MONONA IOWA
Mount Ayr Health Care Center.pdf MOUNT AYR HEALTH CARE CENTER RINGGOLD IOWA
Mosaic.pdf MOSAIC HARRISON IOWA
Methodist Manor Retirement Comm.pdf METHODIST MANOR RETIREMENT COMM BUENA VISTA IOWA
Living Longer Strategies, L.L.C., dba Maggie's House Assisted Living.pdf LIVING LONGER STRATEGIES, L.L.C., DBA MAGGIE'S HOUSE ASSISTED LIVING CLINTON IOWA
Friendship Haven, Inc..pdf FRIENDSHIP HAVEN, INC. WEBSTER IOWA
Family Care Solutions.pdf FAMILY CARE SOLUTIONS SCOTT IOWA
Everlasting Home Health Care, LLC.pdf EVERLASTING HOME HEALTH CARE, LLC CLAYTON IOWA
Crossroads Inc.pdf CROSSROADS INC MUSCATINE IOWA
Christian Opportunity Center.pdf CHRISTIAN OPPORTUNITY CENTER MARION IOWA
Cedar Valley Community Support Services.pdf CEDAR VALLEY COMMUNITY SUPPORT SERVICES BLACK HAWK IOWA
Camp Albrecht Acres of the Midwest.pdf CAMP ALBRECHT ACRES OF THE MIDWEST DUBUQUE IOWA
Brown Deer Place.pdf BROWN DEER PLACE JOHNSON IOWA
Atlantis Penn OPOC, LLC.pdf ATLANTIS PENN OPOC, LLC WAPELLO IOWA
Accura Healthcare of Pomeroy.pdf ACCURA HEALTHCARE OF POMEROY CALHOUN IOWA