HIPAA compliant, BAA available

Measurement-Based Care for Iowa Mental Health Teams

Iowa's new Behavioral Health Service System is built to link funding to measurable outcomes. HiBoop gives community mental health centres, CCBHCs, substance use programs and private practices from Sioux City to Davenport a practical way to measure change: validated scales sent by email or QR code, scored on submission and charted for each client. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Hosted in US regions
SOC 2 Type II
Outcomes you can chart
100+
validated assessments
BAA
for HIPAA covered entities, on request
US
Google Cloud regions for US customers
$25
per month

Iowa Wrote Outcome Data Into Its New System

  • House File 2673, signed on 15 May 2024, merged Iowa's separate mental health, substance use, problem gambling and tobacco systems into one Behavioral Health Service System, which took over on 1 July 2025. The state is now divided into seven behavioural health districts, with the Iowa Primary Care Association serving as the administrative services organization. People with Medicaid or private insurance kept their services and providers; the new system mainly serves Iowans with no insurance or very limited coverage, through safety net providers such as CCBHCs, community mental health centres and community health centres.

    The law that created the system, Iowa Code chapter 225A, requires the Department of Health and Human Services to collect and analyze service outcome and performance data, run a central data repository with a unique identifier for each person served with public funds, and share outcome and performance data with the public and the legislature. The 2025 to 2027 statewide plan lists linking funding to measurable outcomes as a guiding principle and commits to using outcome information to assess services, alongside strategies to promote universal screening.

    The law sets out what the state will collect; it does not name a symptom scale for clinicians. That choice sits with providers, and a validated scale repeated during treatment is the most direct evidence that someone is getting better. HiBoop sends and scores those scales and charts them per client. It does not report to Iowa HHS or the administrative services organization.

  • Seven Districts, One System

    In place since 1 July 2025 under House File 2673, with one administrative services organization

  • A Central Data Repository

    Iowa Code 225A.6 requires one, with a unique identifier for each person served with public funds

  • Funding Linked to Outcomes

    A guiding principle of the 2025 to 2027 Behavioral Health Service System Statewide Plan

All regions

How HiBoop Helps Iowa Providers

  • Iowa now runs mental health and addiction services as one system, asks for outcome data, and keeps strict rules on disclosing mental health information. HiBoop takes care of collecting and scoring scales; your clinicians interpret them.

  • Screening at the Front Door

    The statewide plan calls for promoting universal screening. Send the PHQ-9, GAD-7 or C-SSRS Screener before an intake appointment and see the scored result before the person arrives.

  • Change Over the Course of Treatment

    Repeat the same scales at set points and each score is added to one chart per client. The change between the first and latest score is the outcome; your clinicians decide what it means for care.

  • Data You Can Hand Over

    Export score histories as CSV for an agency's own outcome reporting, or as PDF for the record. Every account can be exported in full whenever you choose.

  • Mental Health and Addiction on One Chart

    Iowa merged its mental health and addiction systems. The TAPS and ASSIST for adults and the CRAFFT-2.1 for adolescents sit beside the depression and anxiety scales, so co-occurring needs are followed together.

  • Scales for Children and Teens

    For youth caseloads, HiBoop includes the PHQ-A for adolescent depression, the SCARED for child anxiety and the PC-PTSD-5 for a brief trauma screen.

  • Agencies Across a District

    Community mental health centres and multi-site agencies can bring every clinician onto Team or Network, with role-based permissions controlling who sees which caseload.

Mental health in Iowa

Research data

  • Each figure below links to the source it comes from.

  • 25.0%

    of Iowa adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 29.0%

    of Iowa adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 20.3%

    of Iowans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Iowa

  • Perinatal depression screening across agencies

    In a train-the-trainer program, 32 social service or health agencies in 20 Iowa counties began maternal depression screening; among the 16 that reported data, average screening rates over the first three months were 73.2%, 80.5% and 79.0%.

    Segre et al., Maternal and Child Health Journal, 2011 PMID 20640494

  • PHQ-9 and GAD-7 in a specialty clinic

    At the University of Iowa Hospitals and Clinics, 455 people seen in a post-COVID clinic between March 2021 and February 2022 were compared with 94 people seen in general internal medicine; those with no recorded history of depression scored higher on the PHQ-9 and GAD-7 than similar general medicine attendees.

    Sauer et al., European Archives of Psychiatry and Clinical Neuroscience, 2024 PMID 38231397

  • Telehealth collaborative care in rural clinics

    A telehealth collaborative care program run from the Iowa City VA for veterans with HIV in seven rural Iowa and Illinois clinics, using a registry, met VA performance measures for over 90% of 24 participants and cut median yearly travel time from 320 to 170 minutes.

    Ohl et al., Journal of General Internal Medicine, 2013 PMID 23475640

  • Collaborative mental health care for older adults

    In a sample of older Iowa Medicare beneficiaries, access to and use of specialty mental health care varied with age, sex, diagnosis, the local supply of mental health and other providers, and whether the person lived in a rural area.

    Kaskie and Szecsei, Journal of Aging & Social Policy, 2011 PMID 21740201

Iowa's System, Rules and Plans

  • HiBoop is independent of Iowa HHS, the administrative services organization and the Medicaid health plans, and does not connect to state data systems. This is the context Iowa providers now work in.

  • Behavioral Health Service System

    Since July 2025

    Created by House File 2673, it brings prevention, early intervention, treatment, recovery and crisis services for mental health and addictive disorders into one system across seven districts. Safety net providers serve Iowans without insurance or with very limited coverage, and system navigators help people find services.

    House File 2673Seven districtsSafety net providers

  • Iowa Code Chapter 225A

    Outcome data

    Requires Iowa HHS to keep a system for collecting and analyzing service outcome and performance data, a central data repository with a unique client identifier, uniform methods for outcome and performance statistics, and a plan to share that data with the public and the General Assembly.

    Central data repositoryUnique client identifierPublic reporting

  • Statewide Plan 2025 to 2027

    State plan

    The Behavioral Health Service System Statewide Plan links funding to measurable outcomes, commits Iowa HHS and the administrative services organization to use outcome information to assess services, and includes strategies to promote universal screening and sustain SBIRT.

    Measurable outcomesUniversal screeningSBIRT

  • Iowa Health Link

    Medicaid

    Most Iowa Medicaid members are enrolled in Iowa Health Link, the managed care program that combines physical, behavioural and long-term care through a managed care organization the member chooses. Some members are covered fee-for-service instead.

    Managed careIntegrated behavioural healthMember choice

Care Teams in Every Iowa District

  • HiBoop works in a web browser, so the same check-ins run in a Des Moines clinic and a rural practice in the far northwest. Each line names the counties in one of the seven behavioural health districts on the state plan's map.

  • District 1: Northwest and Sioux City

    Includes Woodbury, Plymouth, Sioux, Lyon, Osceola, O'Brien, Cherokee, Buena Vista, Ida, Monona, Crawford, Carroll and Harrison counties.

  • District 2: North Central and Fort Dodge

    Includes Webster, Dickinson, Emmet, Kossuth, Winnebago, Worth, Clay, Palo Alto, Hancock, Pocahontas, Humboldt, Wright, Sac and Calhoun counties.

  • District 3: Northeast and Mason City

    Includes Cerro Gordo, Mitchell, Howard, Winneshiek, Allamakee, Floyd, Chickasaw, Fayette, Clayton, Franklin, Butler, Bremer, Hardin, Grundy, Marshall and Tama counties.

  • District 4: Southwest and Council Bluffs

    Includes Pottawattamie, Shelby, Audubon, Guthrie, Cass, Adair, Mills, Montgomery, Adams, Union, Fremont, Page, Taylor and Ringgold counties.

  • District 5: Des Moines and Central Iowa

    Includes Polk, Story, Dallas, Boone, Hamilton, Greene, Jasper, Madison, Warren, Marion, Clarke, Lucas, Decatur and Wayne counties.

  • District 6: Southeast and Ottumwa

    Includes Wapello, Benton, Poweshiek, Iowa, Mahaska, Keokuk, Washington, Monroe, Jefferson, Henry, Appanoose, Davis, Van Buren and Lee counties.

  • District 7: Eastern Iowa

    Includes Linn, Johnson, Scott, Black Hawk, Dubuque, Buchanan, Delaware, Jones, Jackson, Cedar, Clinton, Muscatine, Louisa and Des Moines counties.

Data sovereignty

Why Iowa clinics choose HiBoop

  • Why Iowa Providers Choose HiBoop

    • US customer data hosted in Google Cloud US regions and encrypted both in storage and in transit
    • Certified SOC 2 Type II, and a BAA ready for HIPAA covered entities
    • Every look at or export of a client's data goes into an access log
    • Care is $25/month for a solo clinician, cancel any month, and starting needs no card
    • Clients fill in scales on their own phone, opened from an email or a QR code at reception

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    Solo clinician, month to month
    $25
    USD/month
    Team
    Starting price with no clinician limit
    $200
    USD/month
    Network
    CMHCs and agencies with several sites
    Custom
    Enterprise pricing

100+ validated scales for Iowa clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression, Anxiety and Suicide Risk

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use

    • TAPS (Tobacco, Alcohol and Other Substances)
    • ASSIST (Substance Involvement)
    • CRAFFT-2.1 (Adolescent Substance Use)

  • Children, Teens and Trauma

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • PC-PTSD-5 (PTSD Screen)
Browse all assessments

Iowa's Rules on Mental Health Information

  • Iowa Code chapter 228 governs disclosure of mental health information alongside HIPAA, and it is detailed about written authorizations and record-keeping. These are your organization's duties, which software cannot certify; HiBoop supplies the controls to support them.

  • Iowa's legal requirements

    • Do not disclose mental health information except as chapter 228 allows, and note each disclosure in the record with its date and recipient (Iowa Code 228.2)
    • Tell each recipient in writing that redisclosure needs written authorization and that unauthorized disclosure is unlawful
    • Use a written authorization that states the information, who may disclose it, the purposes, the right to inspect, how to revoke, how long it lasts and the date signed, and give the person a copy (Iowa Code 228.3)
    • Meet HIPAA's safeguard and breach requirements, with a business associate agreement for every vendor holding protected health information

  • What you get from HiBoop

    • A BAA for covered entities, in place before any client data is added
    • Data for US customers stored in Google Cloud US regions with encryption throughout
    • Role-based access and a log of who viewed or exported each record
    • Our SOC 2 Type II certification, with what it covers explained on the trust page

  • Assessing HiBoop for your agency?

    Hosting, encryption, access control and our SOC 2 Type II certification are covered on the trust page. Ask us for a BAA or help with a security questionnaire.

    Visit our trust centre

Grants & funding for Iowa mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Iowa practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • AnxietyGAD-7 Clinical Guide

    Scoring, cut-offs and what a meaningful change looks like

  • Substance useTAPS Tool Guide

    Screening for tobacco, alcohol, prescription and illicit drug use in adults

  • Suicide riskC-SSRS Screener Guide

    The screener's questions and how teams use it at intake

  • LibrarySee All Assessments

    The complete HiBoop library, with scoring and validation notes for each scale

Iowa System, Privacy and Medicaid Sources

  • Official bodies, clinical guidelines, and regulatory references. Iowa.

  • Behavioral Health Service System

    Iowa Department of Health and Human Services

    What changed on 1 July 2025, the seven districts, safety net providers and system navigation.

  • Iowa Code chapter 225A

    Iowa Legislature

    Districts, administrative services organizations, and the duty to collect and share outcome and performance data.

  • Behavioral Health Service System Statewide Plan 2025 to 2027

    Iowa Department of Health and Human Services

    Goals, strategies and the district map for Iowa's behavioural health system.

  • Iowa Code chapter 228

    Iowa Legislature

    Disclosure of mental health and psychological information, written authorizations and revocation.

  • Iowa Code section 125.33

    Iowa Legislature

    Voluntary substance use treatment, including a minor's consent and confidentiality from parents.

  • Iowa Health Link

    Iowa Department of Health and Human Services

    Iowa Medicaid's managed care program and how members choose and change plans.

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Iowa require measurement-based care?

    Not in clinical practice. Iowa Code chapter 225A requires the state to collect and analyze service outcome and performance data for the Behavioral Health Service System, and the 2025 to 2027 plan links funding to measurable outcomes, but neither names a symptom scale for providers. Contracts with the administrative services organization or a health plan may set more specific expectations.

  • Does HiBoop connect to Iowa's central data repository?

    No. HiBoop has no link to Iowa HHS, the administrative services organization or Medicaid health plans. It scores and charts the scales your clients complete, and your team exports the data as CSV or PDF for any reporting it does.

  • Can a teenager in Iowa get substance use treatment without telling their parents?

    Yes, if they apply themselves. Under Iowa Code 125.33, a minor who personally applies for substance use treatment may consent to it, and the fact that they sought or are receiving treatment is not disclosed to parents without the minor's consent. Rules for other mental health treatment of minors differ, so check them with your counsel.

  • What does a valid authorization to disclose look like in Iowa?

    Iowa Code 228.3 requires a signed written authorization that states the information to be disclosed, who may disclose it, the purposes, the right to inspect, how it can be revoked, how long it is valid and the date signed, with a copy for the person and the record. HiBoop is HIPAA compliant and signs a BAA; whether a disclosure is permitted is for your organization and counsel to decide.

Official sources for Iowa

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.