Form 470-5473 Iowa Medicaid Inpatient Psychiatric Prior Authorization - Iowa

What Is Form 470-5473?

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 470-5473?A: Form 470-5473 is the Iowa Medicaid Inpatient Psychiatric Prior Authorization form.

Q: What is the purpose of Form 470-5473?A: The purpose of Form 470-5473 is to request prior authorization for inpatient psychiatric services covered by Iowa Medicaid.

Q: Who needs to fill out Form 470-5473?A: Healthcare providers who are seeking prior authorization for inpatient psychiatric services for Iowa Medicaid beneficiaries need to fill out Form 470-5473.

Q: Are there any fees associated with Form 470-5473?A: There are no fees associated with submitting Form 470-5473 for prior authorization.

Q: What information is required on Form 470-5473?A: Form 470-5473 requires information about the patient, healthcare provider, and the requested inpatient psychiatric services.

Q: What is the processing time for Form 470-5473?A: The processing time for Form 470-5473 varies, but providers can expect a response within a specified timeframe.

Q: Can Form 470-5473 be submitted electronically?A: Yes, Form 470-5473 can be submitted electronically through the Iowa Medicaid Web Portal.

Q: What should I do if my Form 470-5473 is denied?A: If your Form 470-5473 is denied, you may have the option to appeal the decision.