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 ↑↓
Above & Beyond Home Health Care.pdf ABOVE & BEYOND HOME HEALTH CARE JONES IOWA
Always Best Care of the Cedar Valley.pdf ALWAYS BEST CARE OF THE CEDAR VALLEY BLACK HAWK IOWA
Apple Valley Assisted Living.pdf APPLE VALLEY ASSISTED LIVING CERRO GORDO IOWA
Arlington Place of Red Oak II, Inc.pdf ARLINGTON PLACE OF RED OAK II, INC MONTGOMERY IOWA
Corridor Crossing Place.pdf CORRIDOR CROSSING PLACE LINN IOWA
Counseling & Family Centered Services, Inc..pdf COUNSELING & FAMILY CENTERED SERVICES, INC. CHICKASAW IOWA
Easterseals Iowa.pdf EASTERSEALS IOWA POLK IOWA
Ellen Kennedy Living Center.pdf ELLEN KENNEDY LIVING CENTER DUBUQUE IOWA
Goodwill of Central Iowa.pdf GOODWILL OF CENTRAL IOWA POLK IOWA
Life Skills Training Center, Inc..pdf LIFE SKILLS TRAINING CENTER, INC. PLYMOUTH IOWA
Lincolnway Villa Assisted Living.pdf LINCOLNWAY VILLA ASSISTED LIVING CLINTON IOWA
Pinicon Place.pdf PINICON PLACE JONES IOWA
Recover Health.pdf RECOVER HEALTH LINN IOWA
S&J Services Comfort Keepers.pdf S&J SERVICES COMFORT KEEPERS MARSHALL$IOWA IOWA
Successful Living.pdf SUCCESSFUL LIVING JOHNSON IOWA
Tappe & Sanchez Support Services.pdf TAPPE & SANCHEZ SUPPORT SERVICES POLK IOWA
United Presbyterian Home.pdf UNITED PRESBYTERIAN HOME WASHINGTON IOWA
Unlimited Development Inc DBA River Hills Village Assisted Living.pdf UNLIMITED DEVELOPMENT INC DBA RIVER HILLS VILLAGE ASSISTED LIVING LEE IOWA
Webster City IA Assisted Living Tenant LLC.pdf WEBSTER CITY IA ASSISTED LIVING TENANT LLC HAMILTON IOWA
WEL-Life at Spirit Lake.pdf WEL-LIFE AT SPIRIT LAKE DICKINSON IOWA