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 ↑↓
Capstone Behavioral Health Care.pdf CAPSTONE BEHAVIORAL HEALTH CARE JASPER IOWA
Cedar Falls Lutheran Home New Aldaya Lifescapes.pdf CEDAR FALLS LUTHERAN HOME NEW ALDAYA LIFESCAPES BLACK HAWK IOWA
Darrell E. Davis Adult Day Center.pdf DARRELL E. DAVIS ADULT DAY CENTER BUCHANAN IOWA
Delaware County Community Life.pdf DELAWARE COUNTY COMMUNITY LIFE DELAWARE IOWA
Ellipsis.pdf ELLIPSIS POLK IOWA
Focus Family Options Community Supports Inc. dba Iowa Focus.pdf FOCUS FAMILY OPTIONS COMMUNITY SUPPORTS INC. DBA IOWA FOCUS POTTAWATTAMIE IOWA
Good Samaritan Society Timber Ridge.pdf GOOD SAMARITAN SOCIETY TIMBER RIDGE WAPELLO IOWA
HOPE Agency.pdf HOPE AGENCY POLK IOWA
Invigorating Services.pdf INVIGORATING SERVICES LINN IOWA
IowaHomeCare.pdf IOWAHOMECARE POLK IOWA
Kingston Court Assisted Living.pdf KINGSTON COURT ASSISTED LIVING CLAYTON IOWA
Maxim Healthcare Services, Inc..pdf MAXIM HEALTHCARE SERVICES, INC. DOUGLAS NEBRASKA
New Beginnings Counseling Service.pdf NEW BEGINNINGS COUNSELING SERVICE POLK IOWA
Opportunities Unlimited.pdf OPPORTUNITIES UNLIMITED WOODBURY IOWA
Prairie Hills of Independence.pdf PRAIRIE HILLS OF INDEPENDENCE BUCHANAN IOWA
Progress Industries.pdf PROGRESS INDUSTRIES JASPER IOWA
Ringgold County Supportive Services.pdf RINGGOLD COUNTY SUPPORTIVE SERVICES RINGGOLD IOWA
Rock Rapids Premier Estates LLC.pdf ROCK RAPIDS PREMIER ESTATES LLC LYON IOWA
Tanager Place.pdf TANAGER PLACE LINN IOWA
William Eadie Residential Services dba CARE Units A and B.pdf WILLIAM EADIE RESIDENTIAL SERVICES DBA CARE UNITS A AND B UNION IOWA