
Home & Community-Based Services in Iowa
Iowa's Trusted Partner in Home & Community-Based Services
Person-centered Supported Community Living and Home-Based Habilitation for individuals on the ID and BI waivers, and habilitation clients, all built around each person's own goals.
Serving Individuals & Families
Looking for supported community living or home-based habilitation for yourself or a loved one?
Explore ServicesServing Case Managers & Referral Sources
Ready to connect a client with person-centered ID or BI waiver support?
Make a ReferralWho We Are
Home & Community-Based Services in Iowa

Harmony Horizon Services creates an inclusive environment where individuals with disabilities are empowered to lead fulfilling lives in the community of their choosing. We provide Supported Community Living and Home-Based Habilitation to individuals across Iowa, serving the Intellectual Disability (ID) and Brain Injury (BI) waivers, as well as clients accessing habilitation services.
Unlike agencies that treat services as a checklist, we build every support plan around the person first: their goals, their pace, their definition of a good life.
If you're new to waiver services, transitioning from another provider, or a case manager exploring options for a client, we'll walk you through exactly how Harmony Horizon can help.
Get Started Here
Three simple ways to begin
Start Services
Learn how Supported Community Living and Home-Based Habilitation can help you or your loved one build a more independent, connected life.
Talk with Our Team
Have questions about ID or BI waiver eligibility, or which service fits your situation? Our team is ready to help.
Make a Referral
Case managers and families, refer a client and we'll take it from there.

Feel confident in the support you receive
Choosing a provider for yourself or someone you love is a big decision. At Harmony Horizon, every individual we serve has a support plan built around their own goals, not a standard package applied to everyone. Our direct support professionals are trained, dependable, and genuinely invested in helping the people they support move toward greater independence and stronger community connection.
We manage the administrative side, including service documentation, EVV compliance, and coordination with case managers, so individuals and families can focus on what matters: living well.
What Drives Us
Mission, vision & values
Mission
To create an inclusive environment where individuals with disabilities are empowered to lead fulfilling lives in the community of their choosing, pursuing their hopes, dreams, and aspirations through person-centered support.
Values
Independence, Community Integration, and Person-Centered Support. These are the foundations that empower the individuals we serve to direct their own lives and thrive.
Vision
A future where every individual we serve lives a self-directed, fulfilling life where they are meaningfully connected to their community, supported to make their own choices, and not defined by their disability.
In Their Words
What families and partners say
“They built support around what my son actually wants for his life, not a standard package. The difference has been night and day.”
“As a case manager, I know a Harmony Horizon referral will be handled with care and clear communication from day one.”
“The team helped me build skills to live more independently at home, at my own pace. I finally feel heard.”
Get Started
Discover how easy it is to get the right support in place
Whether you're an individual, a family, or a case manager, we'll guide you through every step.
