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 Form 470-5635?
A: Form 470-5635 is a Mental Health Practitioner Form for the Children's Mental Health Waiver Level of Care Determination.
Q: What is the purpose of Form 470-5635?
A: The purpose of Form 470-5635 is to request additional information for the Children's Mental Health Waiver Level of Care Determination.
Q: What is the Children's Mental Health Waiver?
A: The Children's Mental Health Waiver is a program in Iowa that provides mental health services to children with significant emotional and behavioral challenges.
Q: Who is a Mental Health Practitioner?
A: A Mental Health Practitioner is a qualified professional who provides mental health services to individuals.
Q: What is a Level of Care Determination?
A: A Level of Care Determination is an assessment to determine the appropriate level of care needed for an individual's mental health treatment.
Q: Why would someone need to request additional information for the Level of Care Determination?
A: Additional information may be needed to provide a more accurate assessment of the individual's mental health needs.
Q: Is this form specific to Iowa?
A: Yes, Form 470-5635 is specific to Iowa and the Children's Mental Health Waiver program.
Q: Who can help me fill out Form 470-5635?
A: You can seek assistance from the Iowa Department of Human Services or a qualified mental health practitioner.
Q: What happens after submitting Form 470-5635?
A: After submitting the form, the information will be reviewed to determine the appropriate level of care for the individual.
Q: Can I appeal the level of care determination?
A: Yes, if you disagree with the level of care determination, you have the right to appeal the decision.
Q: What other resources are available for children's mental health in Iowa?
A: In addition to the Children's Mental Health Waiver, there are other programs, services, and organizations available in Iowa to support children's mental health. These include school-based services, counseling centers, and community mental health centers.
Form Details:
Download a fillable version of Form 470-5635 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.