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  • 470-0829 Request For Prior Authorization - Dhs State Ia

Get 470-0829 Request For Prior Authorization - Dhs State Ia

Iowa Department of Human Services Iowa Medicaid Enterprise REQUEST FOR PRIOR AUTHORIZATION (PLEASE TYPE - ACCURACY IS IMPORTANT) 1. Patient Name (Last) (First) (Initial) 2. Patient Medicaid Identification.

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Related content

Prior Authorization | Iowa Department of Human...
Phone: 888-424-2070 (Toll Free); Email: paservices@dhs.state.ia.us. Certain services...
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Contact support

Call and request from: 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.

Prior authorization is required for certain services and supplies. Submission of a prior authorization request form along with all supporting documentation is necessary to obtain these services and/or supplies: Durable Medical Equipment (DME) - Augmentative, Vision, Hearing.

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.

The Child Abuse Hotline at 1-800-362-2178 (available 24 hours a day, 7 days a week). Please be ready to provide identifying information and the whereabouts of the child.

Iowa Total Care uses prior authorizations to ensure that all care delivered to our members is medically necessary and appropriate based on the member's type and severity of condition.

You can file a complaint: Online at https://ibplicense.iowa.gov/, or. Complete the Complaint Form, or. Call the board office at 515-281-0254 during regular business hours.

Generally, if your provider provides all information to Iowa Medicaid the timeframe is generally 10-15 business days.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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