This version of the form is not currently in use and is provided for reference only. Download this version of Form 470-3923 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 Form 470-3923?
A: Form 470-3923 is a request for Medicaid services data changes and verifications in the state of Iowa.
Q: Who can use Form 470-3923?
A: This form can be used by individuals who receive Medicaid services in Iowa.
Q: What is the purpose of Form 470-3923?
A: The purpose of this form is to request changes or updates to Medicaid services data, as well as to verify the accuracy of the information.
Q: Do I need to fill out Form 470-3923?
A: You need to fill out this form if you need to make changes or updates to your Medicaid services data in Iowa.
Q: Is there a deadline for submitting Form 470-3923?
A: The Iowa Medicaid program may have specific deadlines for submitting this form. You should check with them for more information.
Q: What information do I need to provide on Form 470-3923?
A: You will need to provide personal information, Medicaid services details, and any changes or updates you want to make.
Q: What should I do after submitting Form 470-3923?
A: After submitting the form, you should wait for confirmation from the Iowa Medicaid program regarding the changes or verifications requested.
Form Details:
Download a fillable version of Form 470-3923 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.