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 470-3372?
A: Form 470-3372 is the Home- and Community-Based Services (HCBS) Consumer-Directed Attendant Care (CDAC) Agreement in Iowa.
Q: What is HCBS?
A: HCBS stands for Home- and Community-Based Services, which provide assistance to individuals with disabilities or chronic illnesses in their homes or communities.
Q: What is CDAC?
A: CDAC stands for Consumer-Directed Attendant Care, which allows individuals to hire and manage their own attendants for personal care services.
Q: Who needs to complete Form 470-3372?
A: This form needs to be completed by individuals receiving HCBS CDAC services in Iowa.
Q: What is the purpose of Form 470-3372?
A: The purpose of this form is to establish an agreement between the individual receiving services and their attendant(s) regarding their roles and responsibilities.
Q: Is Form 470-3372 mandatory?
A: Yes, for individuals receiving HCBS CDAC services in Iowa, completing Form 470-3372 is mandatory to establish the agreement.
Q: What information is required in Form 470-3372?
A: Form 470-3372 requires the individual's and attendant's personal information, service needs, schedules, and signatures.
Q: Can I make changes to Form 470-3372 after it is completed?
A: Yes, changes can be made to Form 470-3372 by contacting your local HCBS agency and following their procedures for amendments.
Q: Is Form 470-3372 specific to Iowa?
A: Yes, Form 470-3372 is specific to Iowa and is used for HCBS CDAC services in the state.
Form Details:
Download a fillable version of Form 470-3372 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.