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 470-5528?
A: Form 470-5528 is the Certificate of Medical Necessity for Health and Disability Waiver CAP Increase in Iowa.
Q: What is the purpose of Form 470-5528?
A: The purpose of Form 470-5528 is to document the medical necessity of a health and disability waiver CAP increase in Iowa.
Q: Who needs to fill out Form 470-5528?
A: This form needs to be filled out by the individual or their representative responsible for the health and disability waiver CAP increase in Iowa.
Q: What information is required on Form 470-5528?
A: The form requires information such as the individual's name, date of birth, diagnosis, medical conditions, and supporting documentation.
Q: Is there a fee for submitting Form 470-5528?
A: No, there is no fee for submitting this form.
Q: Can Form 470-5528 be submitted electronically?
A: Yes, this form can be submitted electronically or by mail.
Q: What should I do after completing Form 470-5528?
A: After completing the form, it should be submitted to the appropriate agency for review and approval.
Form Details:
Download a fillable version of Form 470-5528 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.