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 ↑↓
43 North Iowa.pdf 43 NORTH IOWA CERRO GORDO IOWA
Advanced Home Health Care Inc.pdf ADVANCED HOME HEALTH CARE INC DES MOINES IOWA
AmeriServe International Inc.pdf AMERISERVE INTERNATIONAL INC POTTAWATTAMIE IOWA
Camp Courageous of Iowa.pdf CAMP COURAGEOUS OF IOWA JONES IOWA
Central Iowa Residential Services Inc.pdf CENTRAL IOWA RESIDENTIAL SERVICES INC MARSHALL IOWA
CocoJaydy Support Care Services.pdf COCOJAYDY SUPPORT CARE SERVICES LINN IOWA
CommunityLivingServices.pdf COMMUNITYLIVINGSERVICES POLK IOWA
Corridor Crossing Place.pdf CORRIDOR CROSSING PLACE LINN IOWA
DivineTouch.pdf DIVINETOUCH POLK IOWA
EdencrestSienaHills.pdf EDENCRESTSIENAHILLS POLK IOWA
Greenfield Manor Assisted Living DBA Greenfield Rehabilitation and Health Care Center.pdf GREENFIELD MANOR ASSISTED LIVING DBA GREENFIELD REHABILITATION AND HEALTH CARE CENTER ADAIR IOWA
Longview Home DBA Azria Longview Assisted Living.pdf LONGVIEW HOME DBA AZRIA LONGVIEW ASSISTED LIVING HARRISON IOWA
Loving Touch, Inc..pdf LOVING TOUCH, INC. WINNESHIEK IOWA
Mayors Youth Empowerment Program.pdf MAYORS YOUTH EMPOWERMENT PROGRAM JOHNSON IOWA
Methodist Manor Retirement Community.pdf METHODIST MANOR RETIREMENT COMMUNITY BUENA VISTA IOWA
Optimae Lifeservices.pdf OPTIMAE LIFESERVICES JEFFERSON IOWA
Regency Assisted Living.pdf REGENCY ASSISTED LIVING WARREN IOWA
REMIowaCommunityServicesInc..pdf REMIOWACOMMUNITYSERVICESINC. LEE IOWA
The Arc of Southeast Iowa.pdf THE ARC OF SOUTHEAST IOWA JOHNSON IOWA
Windsor Manor Indianola.pdf WINDSOR MANOR INDIANOLA WARREN IOWA