Long-Term Services and Supports Benefits
AmeriHealth Caritas Iowa members can apply for long-term services and supports (LTSS) benefits.
What is long-term services and supports?
LTSS are just what they sound like. These benefits are for members who need special or extra help. If you need these benefits, we will try to help you. Call Member Services at 1-855-332-2440 (TTY 1-844-214-2471) 24 hours a day, 7 days a week, to get started.
Learn more about LTSS
- Eligibility and referrals
- Self-directed care
- Home- and community-based services (HCBS)
- Estate recovery
- Long-term Care Ombudsmen
Do you have questions about these services? Call Member Services at 1-855-332-2440 (TTY 1-844-214-2471) 24 hours a day, 7 days a week.
When you may have to pay for long-term services and supports
Money Follows the Person (MFP)
The Iowa Department of Human Services (DHS) has a Federal grant to provide 1 year of funding to certain people who are in institutions and want to move into community-based settings. These services are coordinated by DHS. We will assign community-based case managers to work with the DHS transition specialists who manage services paid through the MFP grant. This will ensure a smooth transition to the home- and community-based waiver when grant funding ends.
You may have to pay a part of the cost of your care. This is called client participation. The amount depends on your income. It is calculated by DHS. You must pay the client participation amount to the facility or service provider if you live in:
- A nursing facility for intermediate or skilled care.
- An intermediate care facility for persons with intellectual disability.
- A nursing facility for persons with mental illness.
If you have client participation and receive services through a waiver, your case manager will determine the provider(s) to whom you must pay the client participation amount.
If you have questions about client participation, contact your case manager at 1-855-332-2440 (TTY: 1-844-214-2471) 24 hours a day, 7 days a week.