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Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30)

Iowasub-regulatoryIowa Department of Health and Human Services (HHS), Iowa Medicaid

What this rule requires your agency to do

  • 1The agency/provider must, for Brain Injury (BI) waiver services, complete the Department's online brain injury training course modules one and two within 60 days from the beginning date of service provision (providers enrolled on or before December 31, 2014 are deemed to have met this). (CDAC Provider Handbook (p. 3))(Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30))
  • 2The provider must have either the training or experience to provide the CDAC service that the member needs. (CDAC Provider Handbook, Provider Qualifications (p. 2); Iowa Admin. Code r. 441-77.33(15))(Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30))
  • 3The provider must be at least 18 years old to be enrolled and deliver CDAC services. (CDAC Provider Handbook, Provider Qualifications (p. 2))(Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30))
  • 4The provider must have an approved abuse and criminal background check completed before being enrolled as a CDAC provider. (CDAC Provider Handbook, Provider Qualifications (p. 2))(Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30))
  • 5The provider performing skilled CDAC activities must be supervised by a licensed nurse or therapist every two weeks. (CDAC Provider Handbook, Skilled Services (p. 1))(Consumer-Directed Attendant Care (CDAC) Provider Handbook — Provider Qualifications, Training, and Supervision (implementing Iowa Admin. Code r. 441-77.33(15) / 441-77.30))

Applies to: home care / personal care attendant (Consumer-Directed Attendant Care) — individual and agency providers

Iowa's HCBS training/competency standard for home-care personal attendants is set through the Consumer-Directed Attendant Care (CDAC) program. The governing administrative rules (441-77.30, 441-77.33(15), 441-78.9) largely defer agency home health aide standards to Medicare certification and require CDAC providers to be "qualified by training or experience." The Iowa HHS CDAC Provider Handbook operationalizes this with concrete, testable obligations: minimum age 18, training-or-experience qualification, pre-enrollment abuse/criminal background check, mandatory online brain-injury training modules for BI waiver providers within 60 days, and biweekly licensed-nurse/therapist supervision for skilled activities.</parameter>

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.