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  • 470-0030 Financial And Statistical Report - Iowa Department Of ... - Dhs State Ia

Get 470-0030 Financial And Statistical Report - Iowa Department Of ... - Dhs State Ia

Welcome to the IOWA DEPARTMENT OF HUMAN SERVICES ELECTRONIC FINANCIAL AND STATISTICAL REPORT The Financial and Statistical Report is now available in a Version 97 Excel workbook . The Workbook contains.

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How to fill out the 470-0030 Financial And Statistical Report - Iowa Department Of Human Services online

This guide provides clear and detailed instructions on filling out the 470-0030 Financial And Statistical Report for the Iowa Department of Human Services. It is structured to assist users of all experience levels in completing this important financial document accurately and efficiently.

Follow the steps to successfully complete the report online.

  1. Click the ‘Get Form’ button to access the report. This action will open the document for you to begin filling out the necessary information.
  2. Complete the header section of the form, which includes fields such as the Federal ID Number, Facility Name, Physical Address, and the reporting period details. Ensure that all mandatory fields are filled correctly.
  3. In the section labeled ‘Type of Control’, check the appropriate box that corresponds to the ownership type of your facility, such as Government or Non-Profit Organization.
  4. Fill out the 'Vendor Number' and other related fields, including the dates indicating when the facility was acquired and when it entered the program.
  5. Provide detailed information in the ‘Statistical Data’ section, including the number of authorized beds, patient days, and occupancy rates for the reporting period.
  6. Complete the revenue section by detailing all sources of revenue on Schedule A, and follow with necessary adjustments in Schedule B if applicable.
  7. Proceed to fill in added schedules as required, including Schedules C (Expenses) and D (Depreciation), ensuring that all information aligns with your financial records.
  8. Review all entries for accuracy and completeness, using the Edit and Print tabs available in the workbook for compatibility with your computer's printing settings.
  9. Once all sections are filled out, save your progress. You can then download, print, or share the completed report by using the functionalities provided within the workbook.

Complete your 470-0030 Financial And Statistical Report online today for timely submission!

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Questions on Medicaid and Applying for Health Care Coverage: If you're looking for information about health care coverage options and how to apply for Medicaid, call the Department of Human Services Contact Center toll-free at 1-855-889-7985, Monday-Friday, 7:00 a.m.- 6:00 p.m.

1-800-338-7752 (Toll Free) Services Offered: Medicaid eligibility verification tool using automated voice response.

Income & Asset Limits for Eligibility 2023 Iowa Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month$2,0001 more row • Dec 19, 2022

DHS Contact Center – 1-855-889-7985.

To see if you are eligible for SNAP, visit https://hhs.iowa.gov/how-to-apply. If you already receive SNAP, you can access your account information on the web at https://.connectebt.com/. There is no charge for using this online access. You can report any changes to your SNAP case by calling 877-347-5678.

How do I report a change in income to Medicaid Iowa? Agency: Iowa Department of Health and Human Services Changes included could be income, address, rent/utility payments, household members, etc. Call 1-877-347-5678 or Fax 515-564-4041.

Members should call Iowa Medicaid Member Services for help at 1-800-338-8366 or locally in the Des Moines area at 515-256-4606.

For problems or concerns regarding your local DHS office contact the Central Office at 1-800-972-2017 or by email at contactdhs@dhs.state.ia.us.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232