Form 470-2917 Iowa Medicaid Universal Home-And Community-Based (Hcbs) Waiver Provider Application - Iowa

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What Is Form 470-2917?

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 470-2917?
A: Form 470-2917 is the Iowa Medicaid Universal Home-And Community-Based (HCBS) Waiver Provider Application in Iowa.

Q: What does this form apply for?
A: This form applies for the Iowa Medicaid Universal Home-And Community-Based (HCBS) Waiver Provider Application.

Q: What is the purpose of the Iowa Medicaid Universal Home-And Community-Based (HCBS) Waiver Provider Application?
A: The purpose of this application is to apply to become a provider for the Iowa Medicaid Universal Home-And Community-Based (HCBS) Waiver.

Q: Who is eligible to apply as a provider for this waiver?
A: Individuals or organizations who meet the requirements of the Iowa Medicaid Universal Home-And Community-Based (HCBS) Waiver Program can apply as providers.

Form Details:

Released on February 1, 2023;
The latest edition provided by the Iowa Department of Health and Human Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a printable version of Form 470-2917 by clicking the link below or browse more documents and templates provided by the Iowa Department of Health and Human Services.