Form 470-5473 Iowa Medicaid Enterprise (Ime) Inpatient Psychiatric Prior Authorization - Iowa

What Is Form 470-5473?

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 470-5473?
A: Form 470-5473 is the Iowa Medicaid Enterprise (IME) Inpatient Psychiatric Prior Authorization form.

Q: What is the purpose of Form 470-5473?
A: The purpose of Form 470-5473 is to request prior authorization for inpatient psychiatric services under the Iowa Medicaid program.

Q: Who can use Form 470-5473?
A: Providers of inpatient psychiatric services under the Iowa Medicaid program can use Form 470-5473 to request prior authorization.

Q: Why is prior authorization required for inpatient psychiatric services?
A: Prior authorization helps ensure that the requested services are medically necessary and appropriate for the patient's condition.

Q: How long does it take to get a response after submitting Form 470-5473?
A: The processing time for Form 470-5473 may vary, but generally, a response is provided within 15 business days of receipt.

Q: What information is required on Form 470-5473?
A: Form 470-5473 requires information such as patient demographics, diagnosis, treatment plan, and expected length of stay.

Q: Is there a fee for submitting Form 470-5473?
A: There is no fee for submitting Form 470-5473 for prior authorization of inpatient psychiatric services under the Iowa Medicaid program.