Form 470-5479 Wraparound Payment Request Access for the Iowa Medicaid Portal Access (Impa) System - Iowa

What Is Form 470-5479?

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 470-5479?A: Form 470-5479 is a Wraparound Payment Request Access form for the Iowa Medicaid Portal Access (IMPA) System.

Q: What is a Wraparound Payment Request?A: A Wraparound Payment Request is a request foradditional payment for services offered to Medicaid recipients that are not covered by the Medicaid program.

Q: Who can access the IMPA System?A: Individuals and organizations that provide Medicaid services in Iowa can access the IMPA System.

Q: Why would someone need to submit Form 470-5479?A: Form 470-5479 needs to be submitted to request access to the Wraparound Payment Request feature in the IMPA System.

Q: Is there a fee for accessing the IMPA System?A: No, there is no fee for accessing the IMPA System.

Q: What information is required on Form 470-5479?A: Form 470-5479 requires basic information about the individual or organization requesting access, as well as a certification statement and signature.

Q: How long does it take to process Form 470-5479?A: The processing time for Form 470-5479 may vary, but it generally takes a few weeks for access to be granted.

Q: Who can I contact for more information about Form 470-5479?A: For more information about Form 470-5479 and the IMPA System, you can contact the Iowa Medicaid program.