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 470-4816?
A: Form 470-4816 is the Early Periodic Screening Diagnosis and Treatment (EPSDT) Functional Needs Acuity Scoring Tool (FNAST) used in Iowa.
Q: What is EPSDT?
A: EPSDT stands for Early Periodic Screening Diagnosis and Treatment. It is a Medicaid benefit that provides comprehensive healthcare services to eligible children under the age of 21.
Q: What is FNAST?
A: FNAST stands for Functional Needs Acuity Scoring Tool. It is a tool used in Iowa to assess the functional needs of individuals receiving EPSDT services.
Q: Who is eligible for EPSDT services?
A: Children under the age of 21 who are enrolled in Medicaid are eligible for EPSDT services.
Q: What does the FNAST tool assess?
A: The FNAST tool assesses an individual's functional needs across various domains, including communication, mobility, self-care, learning, behavior, and socialization.
Q: What is the purpose of the FNAST tool?
A: The purpose of the FNAST tool is to identify and document the functional needs of individuals receiving EPSDT services, in order to develop appropriate care and treatment plans.
Form Details:
Download a fillable version of Form 470-4816 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.