Form 470-5480 Iowa Medicaid Mileage Reimbursement Trip Log and Claim Form - Iowa

What Is Form 470-5480?

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 470-5480?
A: Form 470-5480 is the Iowa Medicaid Mileage Reimbursement Trip Log and Claim Form.

Q: What is the purpose of Form 470-5480?
A: The purpose of Form 470-5480 is to claim reimbursement for mileage expenses incurred while providing Medicaid-covered services.

Q: Who can use Form 470-5480?
A: Form 470-5480 can be used by healthcare providers who are enrolled in Iowa Medicaid and provide services to Medicaid beneficiaries.

Q: What information is required on Form 470-5480?
A: Form 470-5480 requires information such as the date of service, starting and ending locations, mileage traveled, and purpose of the trip.

Q: How often can Form 470-5480 be submitted?
A: Form 470-5480 can be submitted on a monthly basis.

Q: Are there any guidelines for filling out Form 470-5480?
A: Yes, there are guidelines provided with the form that explain how to accurately complete it.

Q: How long does it take to get reimbursement after submitting Form 470-5480?
A: The processing time for reimbursement can vary, but it typically takes a few weeks to receive payment after submitting Form 470-5480.

Q: Is there a deadline for submitting Form 470-5480?
A: Yes, Form 470-5480 should be submitted within one calendar year from the date of service in order to be eligible for reimbursement.

Q: Can Form 470-5480 be submitted electronically?
A: Yes, Form 470-5480 can be submitted electronically through the Iowa Medicaid portal.