Home- and Community-based Services (HCBS) Intellectual Disability (ID) Waiver
Tiered Rate
Fee Schedule
All Rates Are Effective July 1, 2022
SERVICE
TIER
CODE
RATE
UNIT
Supported community living (SCL) – without day
services*
1
H2016
U1
$205.28
Daily
2
H2016
U2
$220.06
Daily
3
H2016
U3
$292.82
Daily
4
H2016
U4
$296.07
Daily
5
H2016
U5
$505.25
Daily
6
H2016
U6
$676.18
Daily
SCL provided in a residential care facility (RCF)
licensed for 6 or more beds – without day services*
H2016
HI
$135.26
Daily
SCL – with day services**
1
S5136
U1
$183.04
Daily
2
S5136
U2
$197.21
Daily
3
S5136
U3
$235.74
Daily
4
S5136
U4
$239.00
Daily
5
S5136
U5
$419.64
Daily
6
S5136
U6
$579.16
Daily
SCL provided in a RCF licensed for 6 or more beds
– with day services**
S5136
HI
$114.27
Daily
Residential-based supported community living
(RBSCL)
S5136
UA
$335.48
Daily
Day habilitation
1
T2020
U1
$73.20
Daily
2
2
T2020
U2
$76.81
Daily
3
T2020
U3
$87.48
Daily
4
T2020
U4
$88.72
Daily
5
T2020
U5
$103.31
Daily
6
T2020
U6
$126.33
Daily
Adult day service
1
S5102
U1
$60.84
Daily
2
S5102
U2
$63.83
Daily
3
S5102
U3
$72.69
Daily
4
S5102
U4
$73.73
Daily
5
S5102
U5
$85.85
Daily
6
S5102
U6
$104.98
Daily
* SCL for individuals with an authorized average of 39 or fewer hours of service outside the home per month
** SCL for individuals with an authorized average of 40 or more hours of service outside the home per month
Posted to http://dhs.iowa.gov/ime/providers/csrp/fee-schedule.
