Form 470-0254 Iowa Medicaid Universal Provider Enrollment Application - Iowa

What Is Form 470-0254?

This is a legal form that was released by the Iowa Department of Health and 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 470-0254?
A: Form 470-0254 is the Iowa Medicaid Universal Provider Enrollment Application for becoming enrolled as a provider in Iowa's Medicaid program.

Q: Who needs to fill out Form 470-0254?
A: Healthcare providers who want to participate in Iowa's Medicaid program need to fill out Form 470-0254.

Q: What is the purpose of Form 470-0254?
A: The purpose of Form 470-0254 is to collect information from healthcare providers who wish to enroll in Iowa's Medicaid program. It helps determine eligibility and ensure compliance with program requirements.

Q: What information is required on Form 470-0254?
A: Form 470-0254 requires information about the provider's identity, licensure, practice location, services offered, and billing information.

Q: Are there any fees associated with submitting Form 470-0254?
A: Yes, there may be application fees associated with submitting Form 470-0254. The fee amounts vary depending on the provider type and services provided.

Q: How long does it take for Form 470-0254 to be processed?
A: The processing time for Form 470-0254 can vary. It is recommended to allow sufficient time for the application to be reviewed and processed.

Q: What if I have questions or need assistance with Form 470-0254?
A: If you have questions or need assistance with Form 470-0254, you can contact the Iowa Medicaid Provider Enrollment Unit or refer to the application instructions for guidance.