Form 470-5030 Program of All-inclusive Care for the Elderly (Pace) Disenrollment - Iowa

Form 470-5030 Program of All-inclusive Care for the Elderly (Pace) Disenrollment - Iowa

What Is Form 470-5030?

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 470-5030?
A: Form 470-5030 is a form related to the disenrollment from the Program of All-inclusive Care for the Elderly (PACE) in Iowa.

Q: What is PACE?
A: PACE stands for Program of All-inclusive Care for the Elderly. It is a healthcare program that provides comprehensive and coordinated care for eligible older adults.

Q: Who can disenroll from PACE in Iowa?
A: Any individual enrolled in the PACE program in Iowa who wishes to leave the program can disenroll.

Q: How can I disenroll from PACE in Iowa?
A: To disenroll from PACE in Iowa, you need to complete and submit Form 470-5030.

Q: Is there a deadline for disenrollment from PACE in Iowa?
A: There is no specific deadline for disenrollment from PACE in Iowa. However, it is recommended to submit Form 470-5030 as soon as you decide to disenroll.

Q: What happens after I submit Form 470-5030?
A: After you submit Form 470-5030, your PACE program will process your request for disenrollment and you will no longer be enrolled in the program.

Q: Can I re-enroll in PACE after disenrollment?
A: Yes, you can re-enroll in PACE after disenrollment. However, you may have to wait for a certain period of time before you can rejoin the program.

Q: Are there any consequences or penalties for disenrollment from PACE in Iowa?
A: There are no consequences or penalties for disenrollment from PACE in Iowa. It is your choice to leave the program if you no longer wish to participate.

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Form Details:

  • Released on January 1, 2019;
  • 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;

Download a fillable version of Form 470-5030 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.

Download Form 470-5030 Program of All-inclusive Care for the Elderly (Pace) Disenrollment - Iowa

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