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 470-5168?
A: Form 470-5168 is the Medicaid/Hawki Review form used in Iowa.
Q: What is Medicaid?
A: Medicaid is a joint federal and state program that provides health coverage for low-income individuals and families.
Q: What is Hawki?
A: Hawki is Iowa's version of the Children's Health Insurance Program (CHIP), which provides health coverage for children in low-income families.
Q: Who uses Form 470-5168?
A: Form 470-5168 is used by residents of Iowa who are applying for or renewing their Medicaid or Hawki coverage.
Q: What is the purpose of the Medicaid/Hawki Review?
A: The Medicaid/Hawki Review is conducted to ensure that individuals and families still meet the eligibility requirements for Medicaid or Hawki.
Q: What information is required on Form 470-5168?
A: Form 470-5168 requires information about the applicant's income, household size, residency status, and any changes in circumstances that may impact their eligibility for Medicaid or Hawki.
Q: How often do individuals need to complete the Medicaid/Hawki Review?
A: The Medicaid/Hawki Review must be completed annually to maintain eligibility for Medicaid or Hawki.
Q: Who can help with completing Form 470-5168?
A: Local DHS offices have staff available to assist individuals with completing Form 470-5168 and answering any questions they may have.
Q: What happens if the Medicaid/Hawki Review is not completed?
A: Failure to complete the Medicaid/Hawki Review may result in the termination of Medicaid or Hawki coverage.
Form Details:
Download a printable version of Form 470-5168 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.