Follow the steps to successfully complete your review

1. Click 'Get Form' button to obtain the Medicaid Hawk I Review form and open it in the online editor.
2. Begin by entering your due date, case number, county number, email address, and phone number in the designated fields. Ensure that you provide accurate information as it is critical for processing your review.
3. In the 'Contact Preference' section, select how you would prefer to be contacted regarding your case updates.
4. List household members who receive benefits with you in the specified table, including their name, state ID or CIN, birth date, social security number, relationship to you, gender, residency in Iowa, citizenship status, and eligible immigration status.
5. Answer questions regarding any physical, mental, or emotional health conditions that affect daily activities, as well as pregnancy status within the household.
6. If applicable, provide information about any other individuals living in your household, including their social security number and relationship to you.
7. Disclose any changes in your household, such as individuals moving in or out, and provide corresponding details as required.
8. Report on work and income by listing all jobs held by household members, including employer details and income received per pay period.
9. Fill out sections regarding other forms of income, deductions, and health insurance coverage, making sure to provide full and accurate information.
10. Review the final sections regarding expected changes, permissions for the Department to use tax information, and provide your signature on page six, along with the date.
11. Once you have reviewed all sections, ensure that all necessary information is complete and accurate. Save your changes, download, print, or share the completed form as needed.

Start your Medicaid review process by completing the Medicaid Hawk I Review form online today.