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How to Apply for Waiver Services: The Nuts & Bolts
Vitals for TransitionJanuary 12, 2021
Guest Presenter
Beth Will
Dickinson County Community Services
Sioux Rivers Region
Disability Service Coordinator
Phone: 712-336-0775
4 Waivers discussed at Dec. Vitals
◉ Brain Injury◉ Children’s Mental Health ◉ Health and Disability◉ Intellectual Disability
HBCS Comparison Chart (handy reference sheet)
Habilitation Services
◉ Habilitation Services is a program to provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses.
◉ The federal Deficit Reduction Act of 2005 permitted states to offer home- and community-based services (HCBS) as a state plan option effective January 1, 2007.
◉ Using this option, the Department worked with the Centers for Medicare and Medicaid services to design a program to meet the service needs of lowans with the functional limitations typically associated with chronic mental illness.
◉ Habilitation Services are designed to assist participants in acquiring, retaining and improving the self-help, socialization and adaptive skills necessary to reside successfully in home and community-based settings.
Reminders from December Vitals Session
◉ Reminder - Not all IEP students will be candidates for waiver services (based on Individual need)
◉ Our role as educators is to help parents know where to go to get started in the process
◉ Encourage families to apply for more than 1 waiver
◉ IQ test (before age 18) is needed for ID waiver
◉ Reminder - wait list for waivers (may be up to 3 years)
Other Important Reminders
Remember: You can apply for waiver services as early as one month old, depending on the waiver & the need.
Waivers are beneficial to EVERYONE: families, school, and service providers to provide more unified support
Once on a waiver, services must be used quarterly in order to maintain eligibility. This could be as simple as having a relative become an approved respite provider.
How to help families with IQ testing
Fact: Parents cannot apply for a waiver if they don’t know about them.
Fact: If a family does not apply for the ID waiver until the student is 16, and it takes three years to get off the waitlist, and the student has NOT had an IQ test prior to their 18th birthday, they WILL NOT BE ELIGIBLE for the ID waiver.
** IQ TESTS MUST BE DONE BEFORE A STUDENT TURNS 18**
How to help families with IQ testing
Fact: If the student is already on Medicaid the parent(s) can request to have an IQ test done
Fact: AEA does not do IQ tests. Ask family if this has ever been done, and if not, there is a list of possible providers that follows. (NOTE: If this is recommended at an IEP meeting, the district could be responsible for paying for it.)
** IQ TESTS MUST BE DONE BEFORE A STUDENT TURNS 18**
List of providers IQ testing
Berryhill - Mental Health Center◉ 720 Kenyon Road◉ Ft. Dodge, IA 50501◉ (712) 955-7171
Prairie Ridge Integrated Behavioral Health◉ 320 N Eisenhower Ave, ◉ Mason City, IA 50401◉ (641) 424-2391
Season’s Center for Behavioral Health ◉ 201 E 11th St◉ Spencer, IA 51301◉ (712) 262-2922◉ (800) 241-5101
Plains Area Mental Health Center◉ 180 10th St SE, ◉ Suite 201 PO Box 70◉ Le Mars, IA 51031◉ (712) 546-4624
Psychological Evaluation Providers for IQ Tests
How to apply for Waivers if Medicaid eligible
IF a student is already Medicaid eligible, parents only need to complete this one page check sheet to apply for waivers.
Remember: it is best to check multiple waiver options due to the waiting list.
How to apply for waivers if NOT Medicaid eligible
If a student is NOT medicaid eligible:◉ Either complete the application form on the DHS Services Portal
◉ Download the paper application (strongly recommended!)
○ Be sure to make/keep a copy before you turn this in
○ Write on the top of each page what waiver(s)
you are applying for
○ Be sure to sign & date the application
■ Both on page 15 & page 17
Application for Health Coverage and Help Paying Costs
It is important to hand-write that you are applying for a waiver at the top of EACH
page (in case they get seperated)
Note if you are applying for (such as BI, ID, CMH, Medicaid, etc.)
Step 1: Adult family member filling out form (contact person)
Step 2: Start with person filling out application● Each person in the household will
need to be included in the application.
(Example: Child 1 & 2 may not need Medicaid but Child 3 does, so then you would mark that Child 3 needs health coverage.
Application Form
Note: If additional pages for family members are not needed, put an X through the entire pages but still include them in the application
Important Reminders:
● Be sure to make a copy of the completed application for your file
● Be sure to notify the local DHS office if you move - - since the wait list can be between 18-36 months○ If the notification letter cannot
be delivered, the entire application and wait list process must be started all over again!
Who can help family with process/filling out app
Mental Health Service Coordinators by Counties
COUNTY COORDINATOR PHONE
Buena Vista Lisa Bringle 712-225-6700
Calhoun Leisa Mayer 712-297-5292
Clay Marlee Christoffel 712-264-3945
Cherokee Lisa Bringle 712-255-6700
Dickinson Beth Will 712-336-0775
Mental Health Service Coordinators by Counties
COUNTY COORDINATOR PHONE
EmmetBobbie Jensen
After 7/1/21 - Beth Will641-590-1799712-336-0775
Green Ellen Ritter 515-386-5686
Hamilton Carrie Hisler 515-832-9550
Humboldt Brittany Baker 515-689-6012
Palo Alto Sandy Pelzer 712-264-3945
Mental Health Service Coordinators by Counties
COUNTY COORDINATOR PHONE
Pocahontas Bobbie Jensen 641-590-1799
Sac Leisa Mayer 712-297-5292
Webster Mackenzie Conrad 515-689-6011
Wright Jen Sheedan 515-689-7078
List of DHS Offices - by appointment only
* DHS Offices may not be open to the public due to COVID-19, however most are taking phone calls
Dickinson County DHS:● 1802 Hill Ave St; Suite 2401● Spirit Lake, IA 51360● (712) 336-2555
Emmet County DHS:● 220 S 1st Street● Estherville, IA 51334● (712) 362-7237
Kossuth County DHS:● Served by Emmet Co. DHS
Clay County DHS:● 1900 North Grand Ave Suite E-8● Spencer, IA 51301● (712) 262-3586
Palo Alto County DHS:● Served by Dickenson or Emmet
Co. DHS
Cherokee County DHS:● Served by Clay County DHS
List of DHS Offices - by appointment only
Buena Vista County DHS:● 311 East 5th Street● Storm Lake, IA 50588● (712) 749-2536
Hamilton County DHS:● 1900 Superior Street● Webster City, IA 50595● (515) 832-9555● 1900 Superior Street
Webster County DHS:● 330 1st Avenue North● Ft. Dodge, IA 50501● (515) 955-6353
Pocahontas County DHS:● Served by Webster Co. DHS
Humboldt County DHS:● Served by Webster Co. DHS
Calhoun County DHS:● Served by Webster Co. DHS
List of DHS Offices - by appointment only
Sac County DHS:● Served by Carroll Co. DHS
Greene County DHS:● Served by Carroll Co. DHS
Wright County DHS:● Served by Cerro Gordo DHS
** DHS Offices may not be open to the public due to COVID-19, however most are taking phone calls
Case Management
Once a student is connected with a waiver, they will initially be assigned to a Managed Care Organization (MCO) with a case manager.
Families should contact their current service providers (ex: Hope Haven, Imagine the Possibilities, Work Activities, etc) to make sure their current services are covered through their new MCO
MCOs◉ Iowa Total Care◉ Amerigroup
February 9th: Embedding Employability SkillsNoon
Our Next Vitals
Thank you to Beth Will for her expertise today!