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 ↑↓
Access Incorporated.pdf ACCESS INCORPORATED FRANKLIN IOWA
AmeriServe International Inc.pdf AMERISERVE INTERNATIONAL INC POTTAWATTAMIE IOWA
Care at Home LLC.pdf CARE AT HOME LLC HENRY IOWA
Caring Hands and More.pdf CARING HANDS AND MORE JOHNSON IOWA
Center for Active Seniors, Inc. Janes Place Adult Day Services.pdf CENTER FOR ACTIVE SENIORS, INC. JANES PLACE ADULT DAY SERVICES SCOTT IOWA
Colonial Manors of Fayette Inc..pdf COLONIAL MANORS OF FAYETTE INC. FAYETTE IOWA
Delaware County Community Life.pdf DELAWARE COUNTY COMMUNITY LIFE DELAWARE IOWA
Ellen Kennedy Living Center.pdf ELLEN KENNEDY LIVING CENTER DUBUQUE IOWA
FamilyTies of Iowa.pdf FAMILYTIES OF IOWA POLK IOWA
FirstVisionHealthCare.pdf FIRSTVISIONHEALTHCARE POLK IOWA
Forest Plaza LC.pdf FOREST PLAZA LC WINNEBAGO IOWA
Imprints LLC DBA Tandem Services.pdf IMPRINTS LLC DBA TANDEM SERVICES POLK IOWA
Keelson Harbour.pdf KEELSON HARBOUR DICKINSON IOWA
Lansing Housing Corporation dba Thornton Heights Assisted Living.pdf LANSING HOUSING CORPORATION DBA THORNTON HEIGHTS ASSISTED LIVING ALLMAKEE IOWA
Loving Touch, Inc..pdf LOVING TOUCH, INC. WINNESHIEK IOWA
Lutheran Services in Iowa.pdf LUTHERAN SERVICES IN IOWA POLK IOWA
Omni Inventive Care.pdf OMNI INVENTIVE CARE DOUGLAS NEBRASKA
Plains Area Mental Health Center, Inc..pdf PLAINS AREA MENTAL HEALTH CENTER, INC. PLYMOUTH IOWA
SeniorSuitesofUrbandale.pdf SENIORSUITESOFURBANDALE POLK IOWA
Symmetry Health.pdf SYMMETRY HEALTH JOHNSON IOWA