Overview

Imagine the Possibilities, Inc. is a nonprofit in Iowa that supports children and adults with disabilities across 27 counties. It delivers a mix of home and community-based services, licensed residential care, day habilitation, and employment supports tailored to each person’s goals. Services are funded primarily by Medicaid, with additional support from state and local funds, grants, fundraising, and donations, and are organized through a merged network of DAC, Imagine the Possibilities, Midwest Opportunities, and G & G Living Centers to provide integrated programs. Its goal is to empower people to achieve independence, participate in their communities, and pursue meaningful employment across the life spectrum.

Simplify's Take

What believers are saying

• Iowa HCBS waiver expansion increases funding for non-institutional community-based services.
• Supported employment outcomes strengthen case for expanded IPS program funding.
• Workforce shortage drives state investment in DSP recruitment and retention programs.

What critics are saying

• CMS CRUSH initiative targets HCBS fraud; Minnesota deferral signals heightened enforcement scrutiny.
• Iowa Medicaid budget cuts reduce HCBS funding 15% starting FY2027, slashing primary revenue.
• Competitor REM Iowa expands into overlapping counties with aggressive lower-cost bidding strategy.

What makes Imagine the Possibilities unique

• Largest disability services provider in Iowa serving 1,000+ individuals across 27 counties.
• Comprehensive service portfolio spanning HCBS, residential care, employment, and mental health support.
• New leadership under CEO Tiffany Marlette since January 2025 driving organizational modernization.

Help us improve and share your feedback! Did you find this helpful?

YesNo