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 470-5710?
A: Form 470-5710 is a notification form for Chronic ConditionHealth Home Managed Care Organizations (MCOs) in Iowa.
Q: What is a Chronic Condition Health Home?
A: A Chronic Condition Health Home is a program that provides care coordination and support services for individuals with chronic health conditions.
Q: What are Managed Care Organizations (MCOs)?
A: Managed Care Organizations (MCOs) are healthcare providers or insurers that contract with the government to manage healthcare services for Medicaid beneficiaries.
Q: Who needs to fill out Form 470-5710?
A: Chronic Condition Health Home Managed Care Organizations (MCOs) in Iowa need to fill out Form 470-5710.
Q: What is the purpose of Form 470-5710?
A: The purpose of Form 470-5710 is to notify the Iowa Department of Human Services (DHS) of the MCO's intent to provide chronic condition health home services.
Q: Are there any fees associated with submitting Form 470-5710?
A: There are no fees associated with submitting Form 470-5710.
Q: Is Form 470-5710 mandatory?
A: Yes, Form 470-5710 is mandatory for Chronic Condition Health Home Managed Care Organizations (MCOs) in Iowa.
Q: When should Form 470-5710 be submitted?
A: Form 470-5710 should be submitted at least 60 days prior to the anticipated service start date.
Form Details:
Download a fillable version of Form 470-5710 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.