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State Approval 2026

Non-Medical Home Care Agency – Policies and Procedures – Iowa State Licensure

Non-Medical Home Care Agency – Policies and Procedures – Iowa State Licensure

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Introducing our comprehensive Non-Medical Home Care Agency Policies and Procedures package designed specifically for Iowa State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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Table of Contents

Introduction
Vision
Mission
Core values
Document Control
Statement of Policy
Organization and Staff Policy
Residential and Nonresidential Settings Policy
HCBS elderly waiver service providers Policies and Procedures
Adult Day Care Providers Policy
Respite Care Providers Policy
CDAC Policy
Self-Directed Personal Care Policy
Self-Directed Community Supports and Employment
Incident Management and Reporting Policy
HCBS health and disability waiver service providers Policies and Procedures
Adult Day Care Services Compliance Policy
Respite Care Services Compliance Policy
Consumer-Directed Attendant Care (CDAC) Provider Compliance Policy
Self-Directed Personal Care Services Compliance Policy
Self-Directed Community Supports and Employment Policy
HCBS physical disability waiver service providers Policies and Procedures
Consumer-Directed Attendant Care (CDAC) Providers Compliance
Self-Directed Personal Care Services Compliance Policy
Self-Directed Community Supports and Employment Policy
Incident Management and Reporting
HCBS Intellectual Disability Waiver Service Providers Policies and Procedures
Organizational Standards for Quality Supports and Services Policy
Rights and Dignity of Consumers Policy
Contracts with Consumers Policy
The Right to Appeal
Abuse Reporting Requirements
Incident Management and Reporting
Intake, Admission, Service Coordination, Discharge, and Referral
Certification Process
Review of Providers
Respite Care Providers Policy
Consumer-Directed Attendant Care Providers
Adult Day Care Providers
Financial (Fiscal) Records Maintenance
Medical (Clinical) Records Maintenance
Maintenance of Records Policy
Mandatory and Permissive Reporters - Child Abuse Reporting
Dependent Adult Abuse Reporting
Treatment Plan Policy
Supervisory Visits
Home Health Aide Services
Home Health Agency Care for Maternity Patients and Children
Private Duty Nursing or Personal Care Services for Persons Aged 20 and Under
Request for Waiver
Person-Centered Planning and Person-Centered Service Plan
Home and Community-Based Settings Compliance
Home and Community-Based Settings: Compliance and Transition
Grievance System Policy

Forms

Consumer Intake Form
Consent for Services Form
Assessment Forms
Person-Centered Service Plan Form
Treatment Plan Form
Supervisory Visit Form
Incident Report Form
Medical Records Release Form
Provider Eligibility Form
Caregiver Agreement Form
Caregiver Feedback Form
Grievance Filing Form
Appeal Request Form
Staff Training Form
Compliance Acknowledgement Form
Billing and Timesheet Form
Payment Request Form
Health and Safety Assessment Form
Emergency Contact Form
Discharge Plan Form
Referral Form

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