Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form 470-5273 for the current year.

Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa

What Is Form 470-5273?

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.

FAQ

Q: What is the Form 470-5273?A: The Form 470-5273 is the Iowa Medicaid Health Home and Integrated Health Home Provider Application.

Q: What is the purpose of the Form 470-5273?A: The purpose of the Form 470-5273 is to apply to become a Medicaid Health Home or Integrated Health Home Provider in Iowa.

Q: What is a Medicaid Health Home?A: A Medicaid Health Home is a team-based approach to coordinating and managing the care of individuals with complex health needs.

Q: What is an Integrated Health Home?A: An Integrated Health Home is a model of care that focuses on coordinating physical and behavioral health services for individuals with serious mental illness.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the Iowa Department of 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 470-5273 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.

Download Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa

4.7 of 5 (6 votes)
  • Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa

    1

  • Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa, Page 2

    2

  • Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa, Page 1
  • Form 470-5273 Iowa Medicaid Health Home and Integrated Health Home Provider Application - Iowa, Page 2
Prev 1 2 Next
ADVERTISEMENT