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 470-2917?
A: Form 470-2917 is the Iowa Medicaid Universal HCBS Waiver Provider Application.
Q: What is the purpose of Form 470-2917?
A: The purpose of Form 470-2917 is to apply to become a provider for the Iowa Medicaid Universal HCBS Waiver.
Q: What is the Iowa Medicaid Universal HCBS Waiver?
A: The Iowa Medicaid Universal HCBS Waiver is a program that provides home and community-based services to eligible Iowa residents.
Q: Who needs to complete Form 470-2917?
A: Providers who want to participate in the Iowa Medicaid Universal HCBS Waiver program need to complete Form 470-2917.
Form Details:
Download a fillable version of Form 470-2917 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.