This version of the form is not currently in use and is provided for reference only. Download this version of Form 470-5273 for the current year.
This is a legal form that was released by the Iowa Department of Human Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form 470-5273?
A: The Form 470-5273 is the Iowa Medicaid Health Home and Integrated Health Home Provider Application.
Q: What is the purpose of the Form 470-5273?
A: The purpose of the Form 470-5273 is to apply to become a Medicaid Health Home or Integrated Health Home Provider in Iowa.
Q: What is a Medicaid Health Home?
A: A Medicaid Health Home is a team-based approach to coordinating and managing the care of individuals with complex health needs.
Q: What is an Integrated Health Home?
A: An Integrated Health Home is a model of care that focuses on coordinating physical and behavioral health services for individuals with serious mental illness.
Form Details:
Download a printable version of Form 470-5273 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.