UPDATE: To view information about cancellations and rescheduling regarding EveryStep program and events, please visit www.everystep.org/about/covid19. 

Learn more about EveryStep's response to COVID-19.

Provider Resources

EveryStep provides medical and social services for women, children and families, adults and seniors, and communities across Iowa. EveryStep Care & Support Services include home visits, family support, parent education, and much more. EveryStep's wide variety of services provide care to tens of thousands of Iowans each year. In fact, every county of Iowa is served by at least one EveryStep program. To view a listing of these services, please download our Program Guide.

Download the EveryStep Program Guide. 


1st Five

1st Five, Healthy Mental Development Initiative is a project funded by the Iowa Legislature (IDPH) to assist medical providers in enhancing well-child care for children birth to age five through surveillance and screening of child development, family stress indicators, and caregiver depression. If a concern is detected through completion of surveillance or a developmental screening tool, the child is then linked to EveryStep for developmental support services. After developmental support services are provided, the 1st Five Developmental Support Specialist then contacts the referring medical provider regarding the outcome of the referral. 1st Five understands that the health and well-being of family members directly impacts the health of an infant or young child. 

A referral to 1st Five often benefits the whole family. The 1st Five program is available to any medical provider or clinic providing primary care services which are willing to implement the 1st Five referral form and developmental screening tool(s). Any child identified as needing additional services is eligible for developmental support services. Call 515-558-9954 for more information.


5-2-1-0 is an approach used by child-serving organizations to promote healthy habits throughout central Iowa. We invite individuals and organizations to join us in creating healthy places for children and families to live, learn, and play!

Who do we serve?

Child care facilities from preschool to 12th grade, school buildings and districts, before- and after-school programs, and community partners.

How does 5-2-1-0 work?

5-2-1-0 partners with sites to implement evidence-based strategies to promote healthy habits. Sites analyze current needs and create individualized action plans to help make the healthy choice the easy choice through education and systems change.

What can we do?

Support is provided to sites through trainings, technical assistance, resources, and community partnerships. Contact the Community Health 5-2-1-0 Coordinator for Polk, Warren, and Dallas counties by email at 5210@everystep.org.

Learn more about 5-2-1-0.


EveryStep's Adopt-a-Family program is a way for businesses, organizations, and individuals to "sponsor" a family and make the holidays brighter for those in need. Each fall, families are identified and asked to provide wish lists. Many times, lists consist of basic household necessities such as diapers, clothing, and other items parents and caregivers are struggling to provide for their families. We encourage families to also include toys and other items that would bring joy during the holidays. Sponsors are assigned a family and given a list of items to purchase. Once gifts are collected and wrapped they can be dropped off at EveryStep's offices. Our staff and volunteers then make deliveries to families between December 21 and 24. 

Call 515-371-0912 for more information.

Care and Support Services

Our Care & Support Services provide medical and social services for women, children and families, adults and seniors, and communities in Des Moines and across Iowa. Many of these programs are listed below, and additional programs are listed on our Provider Resources page. Formerly known as Visiting Nurse Services of Iowa, EveryStep Care & Support Services offers dozens of programs that can do the following:

  • support and educate new moms and pregnant women
  • sonnect parents to much-needed baby care items
  • help growing families through in-home visits
  • provide developmental screenings and referrals for children
  • offer dental care and insurance assistance for at-risk children
  • offer safe and educational play and learn sessions for parents and their children
  • offer companionship and support to older Iowans
  • provide financial assistance to families caring for a child with disabilities
  • bring in-home health care to those who are recovering from injury or illness

    Learn more about our care and support services.

    Care for Kids Program
    The Care for Kids Program – an Early Periodic Screening, Diagnosis & Treatment (EPSDT) program – serves residents of Polk, Dallas, Clinton, and Jackson Counties. EPSDT is the benefit package of Medicaid/Title 19 for individuals under 21 years of age. The focus of our EPSDT Care for Kids program is to:
    • inform families of the benefits they receive with Medicaid/Title 19.
    • help individuals secure a medical and dental home.
    • ensure that eligible individuals receive and understand the importance of preventative health care.
    • link families to other community resources to improve their health and well-being (WIC, Early ACCESS, parenting classes, child care assistance, housing assistance, food pantries, etc.).
    • provide transportation to qualifying medical, dental, and mental health appointments for Fee-For-Service members.
    For questions about Care for Kids, call (515) 283-1422 or toll-free (877) 540-1422.
    Child Care Nurse Consultant (CCNC) Program

    The CCNC Program provides on-site consultation and training to early education centers and child care providers on issues related to health and safety. Our nurses offer technical assistance, conduct assessments, provide help with disease outbreaks, and collaborate to make improvements in child care programs. They also perform screenings, help develop care plans for children with special needs, and make referrals to other programs when appropriate. CCNC serves Clinton, Jackson, Dallas, and Polk Counties. 

    Correctly Compliant Program

    This program aims to ensure that all pre-K children who attend a licensed child care center meet the minimum immunization requirements based on Iowa law. Our nurses conduct on-site audits of immunization records, provide written documentation on children without required immunizations, make referrals to health care providers, look up immunizations, and provide technical assistance to improve record keeping. This program serves Polk County.

    To learn more, please call (515) 558-9993.

    Children at Home

    The Children at Home program assists families raising a child with a disability by helping them obtain needed services and supports that are necessary in helping their child remain at home. The Children at Home program believes that families should retain control of decisions that affect their child and family as a whole. Financial assistance is intended to enable families to obtain services and supports that are not met by other programs. The family's intent must be to secure these resources to enable their child to remain in the family home, function more independently in the home, and engage in the community.

    Intake and referral specialists are available via telephone Monday through Friday from 8 a.m. to 6 p.m. at 1-888-IAKIDS1 (1-888-425-4371).

    Learn more about Children at Home.

    Community Action Network

    The Community Action Network (CAN) is a collaboration of organizations, agencies, programs, and individuals in central Iowa with a focus on improving the lives of people in our community. Through the development of educational tools and resources, we help providers, caregivers, parents, and other community members understand best practices in caring for children and families.

    Learn more about CAN.

    Community Health & Wellness

    EveryStep's Community Health program offers multiple types of wellness services to keep Iowans and their workplaces healthy. Whether you need to schedule an on-site flu-shot clinic at your workplace or offer wellness/biometric screenings for your employees, EveryStep Community Health (formerly VNS of Iowa Wellness) is here to help you.

    Learn more about our community health and wellness program.

    Community Home Visitation Program
    The Community Home visitation program provides home visits to pregnant and parenting women in Polk County. The program is dedicated to improving the health and well-being of pregnant women, children, and families. Home visits are conducted by registered nurses, a nutrition counselor, and a social worker. These visits are structured to meet the needs of parent, child, and family. Services provided include:
    • prenatal and post-partum health education.
    • child development screening and education.
    • perinatal depression screening and referral.
    • caregiver depression screenings.
    • referrals to community resources.
    • nutrition counseling.
    • family planning counseling.
    Referrals can be made by a physician, social worker, family member, friend, or yourself. Please contact our intake department at 515-558-9946 for more information.

    Through EveryStep's Connections program, family outreach staff work closely with pediatric, specialty, and family medicine clinics, providing intake services, developmental screenings, and connections to community resources for children who have been identified as needing support services. Issues that are addressed include child development, social and emotional health, family risk factors, and social determinants of health. Connections staff link children and families to community resources, improving access to appropriate follow-up care to resolve issues. This program serves Polk County.

    To learn more, please call (515) 558-9946.

    Drake University Head Start Nurse Consultation

    Head Start is a school readiness program that serves children ages 0-5, including children with disabilities. Our nurses provide support to 16 Drake University Head Start sites by:

    • ensuring that immunizations, physicals, and other medical records are up to date.
    • conducting screenings or assisting in the coordination of screenings for children in regard to vision, hearing, dental, and lead.
    • assisting in development of care plans for children with special health needs.
    • making referrals as needed.

    To learn more, please call (515) 558-9993.


    EveryStep offers a special program for new and expecting dads in Polk County called FathersMatter. The program offers support, education and information for fathers of children enrolled in the Healthy Start Project. Our FathersMatter consultant can provide:

    • home visits
    • tips for new dads
    • information about baby’s health
    • information about safety concerns
    • strategies to help fathers succeed

    To learn more, please call (515) 558-9946.

    Grief and Loss

    EveryStep Grief & Loss Services offers a variety of grief support opportunities provided at no cost for anyone in the community. Available to individuals and families of all ages, our services include the following:

    • Amanda the Panda grief camps
    • monthly and quarterly support groups
    • eight-week educational support groups
    • information about safety concerns
    • memorial gatherings
    • peer support
    • online support
    • family nights
    • mailed resources
    Life after the loss of a loved one is a difficult time of adjustment. At EveryStep, we are honored to listen to your story and walk with you during your time of sorrow and to help you navigate the many feelings associated with loss, such as sadness, anger, frustration, shock, numbness, denial, guilt, emotional distancing, lack of interest and confidence, relationship difficulties, anxiety and panic.


    Learn more about our grief and loss programs.

    Home Care

    EveryStep Home Care is a non-profit provider with experience and a solid reputation going back more than 100 years. We have nurses across Iowa who can provide a wide variety of in-home care services to keep you or your loved one comfortable. Our agency is Medicare-certified and Medicaid-certified.

    Learn more about home care.


    EveryStep Hospice, formerly HCI Hospice Care Services and Hospice with Heart, helps those living with a serious illness make the best out of every day. EveryStep Hospice is Iowa's oldest and largest not-for-profit, community-based hospice provider. Since launching our hospice program in 1978, thousands of Iowans have turned to us to find comfort and care when they needed it most. All hospices focus on providing pain management and symptom control. However, each hospice is independently run and provides its own programs and services.

    Learn more about hospice.

    Hawk-I Insurance for Children

    EveryStep assists uninsured and underinsured children and pregnant women sign up for health insurance and find a doctor and dentist. Assistance from EveryStep is free and available year-round. Staff who serve families in Polk and Dallas counties speak English and Spanish; other languages are served by interpreters from EveryStep’s Interpretation program. Our staff can help with the following items:

    • Answer questions about Hawki and Medicaid.
    • Assist with completing forms and applications.
    • Provide same-day enrollment and determine eligibility.
    • Help families through next steps, like connecting with appropriate medical providers.

    We also help connect children under 21 years old to our Dental Voucher Program when:

    • No dental insurance is available.
    • The individual is a Polk, Dallas, Clinton, or Jackson County resident.
    • They meet income requirements.
    • They have never participated in the program.

    EveryStep can help you find out if you and your family are eligible. Call 515-288-1516 to schedule an appointment or learn more at the link below.

    Learn more about Hawk-I.

    Healthy Homes Iowa

    Healthy Homes Iowa is an EveryStep program focused on working with families to identify and reduce triggers related to pediatric asthma. Our goal is to support improved asthma control and reduce emergency room visits and hospitalizations related to pediatric asthma in Iowa. Through this program, households with children suffering from asthma receive home assessments to address asthma triggers and families receive health information and education to self-manage asthma and maintain a healthy home. EveryStep is proud to lead this effort by providing outreach and health education, as well as care coordination for children with asthma.

    Learn more about Healthy Homes Iowa.

    Healthy Start & Empowerment Project

    This program provides visits to pregnant and parenting women that would like extra support to ensure a healthy child and family as well as their own health. Whether you are pregnant or parenting a child under the age of six, EveryStep’s Healthy Start Program provides free personalized one-on-one education and health screenings for pregnant and postpartum women in Polk County. 

    EveryStep’s Healthy Start Project received the Iowa Family Support Credential. Quality prenatal care guidance through the Healthy Start Program will help to ensure your baby will be as healthy as possible. Ongoing parent education and child development support helps to guide your child on the path to enter school ready to learn. 

    • individualized prenatal and postpartum health education.
    • child developmental screening and education.
    • depression screening and referral.
    • access to community resources.
    • nutrition counseling.
    • family planning counseling.
    • breastfeeding support and education.
    • help choosing medical coverage and a doctor.
    • links to community resources.
    • opportunities to attend program groups including parent/child and consumer leadership opportunities.
    • infant care and safety education.
    Referrals can be made by an individual, physician, social worker, family member or friend. To learn if you or someone you know could benefit, please call (515) 558-9946. Bilingual case managers and interpreters are available.


    Learn more about Healthy Start.


    We have developed a reputation for hard work, dedication, honesty, and integrity. Our highly trained interpreters are here to bridge the gap in the area of linguistics. We provide interpretation in the professional field of social work, healthcare, legal, and education. We strive to provide interpretation and translation services to our growing refugee immigration population as our local demographics continue to become more diverse.

    Learn more about our interpretation program.

    Iowa Family Support Network (IFSN)

    Iowa Family Support Network provides a coordinated intake and Iowa Family Support Network referral system to assist families, child healthcare providers, and other professionals with information and support, as well as linkages to resources for young children ages zero to six.

    Families, child healthcare providers, and other professionals have access to a toll-free phone number to make referrals and obtain information about family support services, group-based services, IDEA Part C early intervention known as Early ACCESS, and other community supports in Iowa. Information specialists are available via telephone Monday through Friday from 8 a.m. to 6 p.m. 1-888-IAKIDS1 (1-888-425-4371).

    Learn more about IFSN.


    The I-Smile™ Program provides oral health screenings, oral health education, nutrition education relating to oral health, fluoride varnish application, and a referral to a dentist for comprehensive dental needs. The program serves children under the age of 21 and pregnant women residing in Dallas, Polk, Clinton, and Jackson Counties. We assist families:

    • find a dental home or dental coverage for their child.
    • acquire assistance to set up appointments with the dentist or find dentists who accept Medicaid.
    • transport their child to the dental appointment.
    • have translation services regarding their dental care.
    For more information, please contact the I-Smile Program at (515) 557-9023 for Polk and Dallas Counties and (515) 661-3715 for Clinton and Jackson Counties.


    Learn more about I-Smile.

    Maternal Child Health

    EveryStep’s Maternal Child Health (MCH) Services & Community Home Visitation Program brings health care and education to expectant or parenting moms in their homes. During nurse home visits, women in the community who are pregnant receive health assessments and education. Visits are also made with women who have delivered their babies. Services include:

    • post-partum assessments and education for the mother.
    • health and developmental screenings for the infant.
    • newborn care and education.
    • breastfeeding education and support.
    • linkages to community resources.
    • individualized health education and support based on maternal and/or infant needs.

    Pregnant or post-partum woman who would benefit from a home visit by a nurse as eligible, as are children who are identified as needing additional health screening and assessment. Please contact us for more information at 515-558-9946 for Polk and Dallas Counties and 515-661-3715 for Clinton and Jackson Counties.


    EveryStep's Nine2Thrive program was launched in 2019 to support the healthy development of babies during pregnancy. Studies show that stress during pregnancy can have a direct effect on unborn babies, possibly resulting in pre-term birth, low birth weight, and poor physical and emotional health by the age of 18 months. Additionally, there is evidence that stress can imprint on a developing baby's DNA, resulting in negative health issues across multiple generations.

    The Nine2Thrive project model is a public-private partnership bridging primary care and public health services. If a concern is identified during an initial intake assessment at a prenatal visit with an obstetrician or midwife, the mother is connected to a Nine2Thrive support specialist. The support specialist coordinates referrals and interventions, and provides targeted follow-up with the mother. These services are also extended to address the needs of the entire family.

    To learn more, please call (515) 333-4533 or email nine2thrive@everystep.org.

    Nurse-Family Partnership Program

    The Nurse-Family Partnership Program matches first-time parents with a Nurse Home Visitor who provides ongoing education and support beginning during the mother’s pregnancy and continuing until the child turns two years old. For more information about the Nurse Family Partnership Program, please call (515) 558-9946.

    Learn more about the NFP Program.


    EveryStep offers a pilot palliative care program, available to qualifying patients who receive their primary healthcare services within Madison County, Iowa. EveryStep’s Palliative Care program offers specialized pain and symptom management and psycho-social support for individuals ages 16 and older who are living with serious, complex or chronic disease.

    Palliative Care

    At EveryStep, we believe people should be able to live each day to the fullest, even while facing serious illness. EveryStep Palliative Care can help you make the most of every day. Palliative care is specialized medical care for people living with serious or chronic illness. It focuses on providing relief from the symptoms and stress of the illness. The goal is to improve quality of life for both the patient and the family. Palliative care does not replace your ongoing health care or your current medical providers. And, you do not have to stop pursuing other types of care or treatments. Rather, palliative care adds an extra layer of care and support to help you find relief from symptoms like physical pain, symptoms or emotional suffering.

    Is Palliative Care right for you?

    EveryStep’s Palliative Care program is available to individuals ages 16 and older who have two or more chronic, complex or serious diseases and currently receives their primary medical care in Union County, Madison County or is currently an inpatient at Greater Regional Health in Creston. A few examples of serious, chronic, or complex health conditions are:

    • cancer
    • lung disease/COPD
    • heart, endocrine, liver or kidney disease
    • neurological conditions, such as advanced ALS, Parkinson’s, or dementia

    Ask your doctor about EveryStep Palliative Care if you experience any of the following with your health condition:

    • uncontrolled pain
    • nausea
    • weakness
    • anxiety
    • debilitating grief
    • psycho-social or spiritual losses
    • frequent visits to the hospital
    • shortness of breath
    • fatigue
    • delirium
    • weight loss

    How can Palliative Care help you?

    Our services are open to qualifying individuals who currently receive their primary medical care in Union County, Madison County or is currently an inpatient at Greater Regional Health in Creston. Area physicians, physicians assistants and nurse practitioners can refer their patients to EveryStep Palliative Care. If you are interested in EveryStep Palliative Care, please talk to your provider and ask about our services. You may also call EveryStep at 515-333-5800 for information. We start by listening and finding out what’s most important to you. Our palliative care physician will develop a care plan tailored to your needs and goals. Through our services, you can:

    • better understand your medical treatments and how they fit together
    • get relief from uncontrolled pain or symptoms
    • address medication interactions that may be causing uncomfortable symptoms
    • find expert counseling for emotional or spiritual distress
    • receive comfort and support during the grieving process

    If palliative care isn’t right for your needs, EveryStep also offers other services that may help you, right now.

    Where and how is Palliative Care provided?

    Our EveryStep Palliative Care physician is available for consultations, either by phone or in person at Greater Regional Health. Once the referral is made, our palliative care nurse will contact you and or your family to assist with your plan of care and collaborate with our physician. EveryStep’s Palliative Care services are covered by Medicare/Medicaid and some private insurance.

    Visits are available for individuals receiving inpatient care at Greater Regional Health.


    • Greater Regional Health Visiting Physicians Clinic, 1700 W. Townline Street, Creston, IA 50801 (South entrance of hospital); 1st and 3rd Thursday of the month from 8 a.m.to 12 p.m.
    • Madison County Memorial Hospital - Specialty Clinic, 300 W. Hutchings Street, Winterset, IA 50273 (South entrance of hospital); 1st and 3rd Thursday of the month from 1 – 5 p.m.


    If you have questions about EveryStep’s Palliative Care program, please call 515-333-5800 or email palliativecare@everystep.org. Our team will respond within one business day. You can also view our Referral Guide here.

    Stork's Nest and Family Nest

    Stork's Nest and Family Nest are part of an educational incentive program. Participants earn points for healthy behaviors such as keeping medical appointments, WIC participation, breastfeeding, and school attendance. These points may be redeemed at the Stork's Nest for needed baby items such as diapers, clothing, strollers, cribs, and car seats. Family Nest participants may also redeem points for needed household supplies such as laundry detergent, pots and pans, and dishwashing detergent.

    Who’s eligible?

    Stork’s Nest: Pregnant women in Polk County who meet the program's income guidelines; once enrolled, women may remain in the program through pregnancy and postpartum until the baby is one year old.
    Family Nest: Families enrolled in the Healthy Start & Empowerment program (families with a pregnant woman or child under the age of six) who meet the program's income guidelines.


    If you have any questions, please call 515-558-9950 or email Storksnest@EveryStep.org.

    Storybook Project

    The Storybook Project keeps incarcerated parents and their children connected through reading at the Iowa Correctional Institution in Mitchellville and at the Newton Correctional Facility in Newton. Once a month, parents and grandmothers select one book per child and read to their children birth to age 17 through a digital voice recorder with the assistance of a trained volunteer. The stories are burnt onto a CD and mailed, along with the book, to the child. The mission is to strengthen the bond between parent and child during incarceration while promoting reading and literacy.

    If you are interested in volunteering or contributing to the Storybook Project, please call (515) 288-1516.

    Thrift Store

    EveryStep Giving Tree thrift store, 3330 100th St. in Urbandale, Iowa, sells and accepts donations of gently used clothing, accessories, furniture, home decor, household items, bedding and more. All proceeds benefit the people served by EveryStep's non-profit care and support programs. Learn about donating, volunteering and shopping at the store at everystepgivingtree.org.

    Learn more about EveryStep Giving Tree Thrift Store.

    Winter Assistance 2020-2021

    View a list of local resources that are able to assist families during the holiday and winter season.             

    Learn more about local winter assistance programs.