Housing Options for Adults With Intellectual Disabilities
Finding safe, stable housing for an adult with intellectual or developmental disabilities in Iowa can feel overwhelming. Fortunately, there are several structured housing options designed to meet different levels of independence and support needs.
In Iowa, housing and services are typically coordinated through Medicaid Home and Community-Based Services (HCBS) waiver programs and the Iowa Department of Health and Human Services:
These programs are designed to help individuals live as independently as possible while receiving the right level of support.
1. Supported Community Living (SCL)
Supported Community Living (SCL) allows individuals to live in their own home, apartment, or family home while receiving customized daily support services.
Services may include:
- Personal care assistance
- Meal preparation
- Medication reminders
- Transportation
- Daily living skill development
SCL is funded through Medicaid HCBS waiver programs in Iowa.
👉 Learn more: https://hhs.iowa.gov/programs-services/disability-services
2. Group Homes
Group homes provide shared residential living for individuals who need ongoing structure and support.
Key features:
- 24/7 staff supervision
- Shared living environment
- Structured daily routines
- Support with personal care and safety
Group homes are often used for individuals who need more support than independent living but do not require institutional care.
3. Next Step Living
Next Step Living is a transitional and supportive housing approach designed to help individuals build independence before moving into more permanent community-based living.
Key features:
- Short-term or transitional housing model
- Focus on independence skill-building
- Daily living support and coaching
- Preparation for more independent housing options
Next Step Living is often used as a “bridge” between higher-support environments (like group homes) and more independent living settings, such as Supported Community Living.
This option helps individuals gradually build confidence, routines, and life skills in a supportive environment.
4. Independent Living with Supports
Some individuals are able to live in an apartment or home with limited ongoing support services.
Supports may include:
- Weekly or monthly check-ins
- Job coaching or employment support
- Transportation assistance
- Life skills coaching
This option is best for individuals with higher independence and stable support needs.
5. Intermediate Care Facilities (ICF/ID)
Intermediate Care Facilities provide a higher level of structured care for individuals with significant medical or behavioral support needs.
Features include:
- 24/7 professional staff support
- Structured living environment
- Medical oversight
- Intensive daily care services
This option is typically used when community-based living is not sufficient for safety or health needs.
How Housing is Funded in Iowa
Most disability housing services in Iowa are funded through:
- Medicaid HCBS Waiver Programs
https://hhs.iowa.gov/programs-services/ime/members/medicaid-waivers - State disability service programs
- Managed care organizations
Eligibility is determined through assessment by Iowa Health and Human Services.
How to Choose the Right Housing Option
When selecting housing, consider:
- Level of independence
- Medical needs
- Behavioral support needs
- Safety requirements
- Long-term goals
- Family involvement
- Community access
A case manager or service coordinator can help determine the most appropriate option.
Getting Started in Iowa
To begin the process:
- Contact Iowa Health and Human Services
👉 https://hhs.iowa.gov/ - Request a disability services assessment
- Apply for Medicaid waiver programs
- Develop an Individual Service Plan (ISP)
- Explore housing providers and available options
Frequently Asked Questions
What is the most independent housing option?
Supported Community Living or independent living with supports provides the most independence.
What is Next Step Living?
Next Step Living is a transitional housing model that helps individuals build independence skills before moving into long-term community-based housing.
Who qualifies for disability housing services in Iowa?
Individuals with intellectual or developmental disabilities who qualify for Medicaid HCBS waiver programs.