
IA DHS 470-2927 2011 free printable template
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INSTRUCTIONS FOR HEALTH SERVICES APPLICATION
Complete this form if you live in Iowa and want to get:
? Medical Assistance (Title 19 or Medicaid) ? Provides health care coverage
Other programs within
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How to fill out IA DHS 470-2927

How to fill out IA DHS 470-2927
01
Begin by downloading the IA DHS 470-2927 form from the Iowa Department of Human Services website.
02
Read the instructions carefully to understand the purpose of the form.
03
Fill out the personal information section, including your name, address, and contact details.
04
Provide specific details related to your case, such as household members and their information.
05
Complete the sections pertaining to your income and expenses as required.
06
Review all entries for accuracy and completeness before signing the form.
07
Submit the completed form according to the instructions provided, either online, by mail, or in person.
Who needs IA DHS 470-2927?
01
Individuals or families who are applying for assistance programs offered by the Iowa Department of Human Services.
02
Those who need to report changes in income or household composition.
03
People seeking eligibility for services like food assistance, health coverage, or cash assistance.
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People Also Ask about
How to apply for welfare benefits in Iowa?
To apply for SNAP and/or cash assistance programs (FIP or RCA), go to the online benefits portal or download the HHS Food and Financial Support Application (Solicitud de Ayuda Financiera).
What does Iowa Department of Human Services do?
Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.
What is the maximum income to qualify for Medicaid in Iowa?
Income & Asset Limits for Eligibility 2023 Iowa Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$3,000Medicaid Waivers / Home and Community Based Services$2,742 / month$3,0001 more row • Dec 19, 2022
Who is eligible for DHS in Iowa?
An adult between the ages of 19 and 64 and whose income is at or below 133 percent of the Federal Poverty Level (FPL) A person who is a resident of Iowa and a U.S. citizen. Others may qualify (see list below)
What is the income limit for Medicaid in Iowa?
Who is eligible for Iowa Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
Who qualifies for welfare in Iowa?
To get help from most of our programs, you must: Be a U.S. citizen or legal qualified alien. Live in Iowa. Provide a social security number or proof of application for a number. Meet income and resource limits (these vary from program to program).
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What is IA DHS 470-2927?
IA DHS 470-2927 is a specific form used by the Iowa Department of Human Services for reporting certain information related to individuals receiving assistance.
Who is required to file IA DHS 470-2927?
Individuals or families who are receiving assistance from the Iowa Department of Human Services and need to report changes or provide information are required to file IA DHS 470-2927.
How to fill out IA DHS 470-2927?
To fill out IA DHS 470-2927, one should carefully read the instructions provided with the form, enter the required personal information, and report any changes in circumstances, ensuring all sections are completed accurately.
What is the purpose of IA DHS 470-2927?
The purpose of IA DHS 470-2927 is to collect necessary information from individuals receiving support, helping to ensure that their cases are managed appropriately and that they continue to qualify for assistance.
What information must be reported on IA DHS 470-2927?
Information that must be reported on IA DHS 470-2927 includes personal identification details, income changes, household composition, and any other relevant circumstances that may affect eligibility for assistance.
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