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 ↑↓
WoodwardCBS.pdf WOODWARDCBS POLK IOWA
Windsor Manor.pdf WINDSOR MANOR STORY IOWA
St. Anthony Home Health.pdf ST. ANTHONY HOME HEALTH CARROLL IOWA
Quality Choices, Inc..pdf QUALITY CHOICES, INC. FAYETTE IOWA
QuadCitiesServiceProvidersLLC.pdf QUADCITIESSERVICEPROVIDERSLLC SCOTT IOWA
Pinicon Place.pdf PINICON PLACE JONES IOWA
Parkview.pdf PARKVIEW WASHINGTON IOWA
Next Step Counseling Services LLC.pdf NEXT STEP COUNSELING SERVICES LLC POLK SCANNED SIGNATURE PAGE IOWA
Lutheran Living Senior Campus.pdf LUTHERAN LIVING SENIOR CAMPUS MUSCATINE IOWA
HOPE Agency_NewAddress.pdf HOPE AGENCY_NEWADDRESS POLK IOWA
Heartland Health Management, Inc.pdf HEARTLAND HEALTH MANAGEMENT, INC HENRY IOWA
Handicapped Development Center.pdf HANDICAPPED DEVELOPMENT CENTER SCOTT IOWA
Good Shepherd.pdf GOOD SHEPHERD CERRO GORDO IOWA
Friends Forever Social Education Center.pdf FRIENDS FOREVER SOCIAL EDUCATION CENTER HAMILTON IOWA
EyerlyBall.pdf EYERLYBALL POLK IOWA
Divine Touch of Iowa.pdf DIVINE TOUCH OF IOWA POLK IOWA
Caring Hands and More.pdf CARING HANDS AND MORE JOHNSON IOWA
CareInitiatives.pdf CAREINITIATIVES POLK IOWA
Brown Deer Place.pdf BROWN DEER PLACE JOHNSON IOWA
Aging Services.pdf AGING SERVICES LINN IOWA