Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa

Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa

What Is Form 470-5200?

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 Form 470-5200?A: Form 470-5200 is an application for initial or recertification to be a Presumptive Provider (Pp) in Iowa.

Q: What is a Presumptive Provider (Pp)?A: A Presumptive Provider (Pp) is a healthcare provider who is eligible to provide services to Iowa Medicaid members without prior authorization.

Q: Who can use Form 470-5200?A: Form 470-5200 can be used by healthcare providers in Iowa who want to be a Presumptive Provider (Pp) or recertify their Presumptive Provider status.

Q: What services can a Presumptive Provider (Pp) offer?A: A Presumptive Provider (Pp) can offer services such as office visits, lab tests, X-rays, preventive services, and some medications without prior authorization.

Q: What is the purpose of Form 470-5200?A: The purpose of Form 470-5200 is to apply for Presumptive Provider (Pp) status or recertify existing Presumptive Provider status in Iowa.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2020;
  • 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 fillable version of Form 470-5200 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.

Download Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa

4.6 of 5 (10 votes)
  • Form 470-5200 Application for Initial/Recertification to Be a Presumptive Provider (Pp) - Iowa

    1

  • Form 470-5200 Application for Initial/Recertification to Be a Presumptive Provider (Pp) - Iowa, Page 2

    2

  • Form 470-5200 Application for Initial/Recertification to Be a Presumptive Provider (Pp) - Iowa, Page 3

    3

  • Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa, Page 1
  • Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa, Page 2
  • Form 470-5200 Application for Initial / Recertification to Be a Presumptive Provider (Pp) - Iowa, Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents