Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa

What Is Form 470-5200?

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.

FAQ

Q: What is Form 470-5200?
A: Form 470-5200 is an application for initial or recertification to be a Presumptive Provider (Pp) in Iowa.

Q: What is a Presumptive Provider (Pp)?
A: A Presumptive Provider (Pp) is a healthcare provider who is eligible to provide services to Iowa Medicaid members without prior authorization.

Q: Who can use Form 470-5200?
A: Form 470-5200 can be used by healthcare providers in Iowa who want to be a Presumptive Provider (Pp) or recertify their Presumptive Provider status.

Q: What services can a Presumptive Provider (Pp) offer?
A: A Presumptive Provider (Pp) can offer services such as office visits, lab tests, X-rays, preventive services, and some medications without prior authorization.

Q: What is the purpose of Form 470-5200?
A: The purpose of Form 470-5200 is to apply for Presumptive Provider (Pp) status or recertify existing Presumptive Provider status in Iowa.