2758
This form is used for paying the fee invoiced for the National Pollutant Discharge Elimination System (NPDES) General Permit #5 in Iowa.
This document provides a conversion chart for converting the number of animals to animal units in Iowa.
This form is used for requesting managed care wraparound payments in Iowa.
This document is a consent form used in Iowa for the Money Follows the Person program. It is used to grant consent for a proposed transition of an individual to a different living arrangement.
This form is used for obtaining consent from a guardian in Iowa for a person to participate in transition planning under the Money Follows the Person program.
This Form is used for evaluating the functional needs and acuity scores of individuals seeking Early Periodic Screening Diagnosis and Treatment (EPSDT) services in Iowa.
This form is used for Early Periodic Screening Diagnosis and Treatment (EPSDT) in Iowa. It is specifically for assessing social needs acuity using the Scoring Tool (SNAST).
This document is used to provide referral information for the Money Follows the Person program in Iowa. It helps individuals who are transitioning from institutional care to community-based services.
This form is used for consenting to begin transition planning under the Money Follows the Person program in Iowa.
This document is used for assessing the needs and stress levels of family caregivers in Iowa. The Family Caregiver Assessment and Strain Index helps to identify the challenges and support required by caregivers to ensure the well-being of both the caregiver and the care recipient.
This form is used for ordering home-delivered meals in Iowa to ensure proper nutrition intake.
This document is a nutrition health promotion monitoring tool specific to Iowa. It helps track and assess the effectiveness of nutrition health promotion efforts in promoting healthy eating habits and improving overall health outcomes in Iowa.
This document describes an Administrative Monitoring Tool used in the state of Iowa for managing administrative tasks and monitoring operations.
This document is used for registering large packages of fertilizers and soil conditioners in Iowa.
This document is a self-portrait for Iowa 175, showcasing the state of Iowa in the United States.
This document is used for remitting the quarterly administrative fee for the Iowa Educational Course for Drinking Drivers.
This form is used for developing a sampling plan to monitor nitrite levels in public water supplies in Iowa.
This document outlines the sampling plan for annual nitrite testing in public water supplies in Iowa. It is used to ensure the safety of the public water system and comply with state regulations.
This document is used for documenting out-of-state OWI (Operating While Intoxicated) cases in Iowa.