Get Ia 470-3118 2011-2025

The IA 470-3118 is a vital form for individuals seeking eligibility for Medicaid or State Supplementary Assistance in Iowa. This guide aims to provide clear, step-by-step instructions for completing this form online, ensuring you have all the necessary information to successfully submit your application.

Follow the steps to fill out the IA 470-3118 online.

1. Click 'Get Form' button to obtain the IA 470-3118 and access it in the online editor.
2. Begin by entering your county number, worker name, case number, and phone number in the designated fields.
3. Provide information about your family by listing yourself and others who live in your home. Include their names, relationships to you, ages, and social security numbers.
4. Indicate any changes to your mailing or living address, if applicable. Ensure you provide complete and accurate address details.
5. Answer questions regarding a guardian, conservator, or representative, if applicable.
6. Detail your expenses, starting with medical expenses. Include amounts paid monthly for health insurance and any ongoing medical bills not covered by Medicaid.
7. List any additional household expenses such as child care or child support payments, including the amounts and recipients.
8. Document the income of everyone in your home. Include sources such as social security, pensions, unemployment, and income from work. Make sure to mention the gross amount received monthly.
9. Fill out information regarding your assets, including all vehicles, bank accounts, stocks, bonds, and any other valuables. Ensure you provide accurate details about their worth.
10. Sign and date the form, certifying that your information is correct and complete. If assistance was provided, include the signature and contact details of that person.
11. Finally, review the completed form, save your changes, and proceed to download, print, or share the document as necessary.

Begin filling out your IA 470-3118 online today to ensure timely review of your Medicaid eligibility.