Short answer
Generally no
No. Iowa rules say a member's spouse can't be paid for consumer-directed attendant care or self-directed personal care (Iowa HHS CDAC guide; Iowa Admin. Code, ARC 9314B).
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The programs to ask about, documents to gather, and who to call in Iowa. Print it now, no email needed.
Programs to ask about in Iowa
Consumer Choices Option (CCO)
Iowa Medicaid HCBS option in which members hire their own workers (family, friends or other eligible caregivers) using a monthly budget.
Consumer-Directed Attendant Care (CDAC)
HCBS service in which members can choose their own attendant.
How to apply
Contact your case manager or Iowa Medicaid Member Services at 1-800-338-8366 (reported from the Iowa HHS CCO page).