Community Living



DRI will focus on the following areas:

Increasing the options of adults who want to live in the community rather than facilities to successfully transition to the community.

Why is this important? Individuals with disabilities have the right under the Americans with Disabilities Act and the U.S. Supreme Court’s Olmstead decision to receive services in the most integrated settings within a reasonable timeframe.

Possible activities to accomplish goals

  • Research and acquire knowledge of federal law regarding community integration of individuals in nursing facilities (MDS section Q referral process).
  • Engage in meetings with Managed Care Organizations to monitor efforts being made to increase capacity of community based services system and hold them accountable for Olmstead violations when indicated.
  • Represent individuals residing in nursing facilities or intermediate care facilities who wish to return to the community and are not receiving adequate transition planning.
  • Review Pre-Admission Screening and Resident Review (PASRR) Level II Specialized Services and Care Plans of individuals in Nursing Facilities to ensure specialized services that would assist individuals in returning to the community are in place.
  • Educate residents of nursing facilities and intermediate care facilities for individuals with intellectual disabilities about rights, including the right to participate in decisions about where they live and what services they receive.
  • Conduct monitoring of nursing facilities and intermediate care facilities for individuals with intellectual disabilities.

 Increasing the opportunities of adults on home and community-based service waivers, in settings where services are received 24 hours a day, to live and work in the community, have control over daily life decisions and choose what services they receive and who provides them.

Why is this important? This is important so that all individuals with disabilities can live in a truly integrated community.

Possible activities to accomplish goals

  • Gain full understanding of state and federal oversight of HCBS Waiver programs
  • Provide advocacy to persons not receiving appropriate HCBS services
  • Monitor Iowa’s adherence to Statewide Transition Plan
  • Evaluate compliance with CMS’ home and community-based settings rule and take appropriate action to ensure compliance with the rule, including requesting Iowa Medicaid Enterprises to submit a setting through the heightened scrutiny
  • Monitoring 24 hour HCBS settings