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Iowa Department of Human Services Iowa Medicaid Health Home and Integrated Health Home Provider Application Provider Type (check box): 71 Health Home 73 Integrated Health Home Requested Effective
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The 470-5273 Iowa Medicaid Health form is a document used to report healthcare services provided to Medicaid beneficiaries in Iowa.
Healthcare providers and facilities that provide services to Iowa Medicaid beneficiaries are required to file the 470-5273 Iowa Medicaid Health form.
The 470-5273 Iowa Medicaid Health form can be filled out electronically or manually. Providers must include detailed information about the services provided to Medicaid beneficiaries.
The purpose of the 470-5273 Iowa Medicaid Health form is to ensure accurate reporting of healthcare services provided to Medicaid beneficiaries and to facilitate reimbursement for those services.
Providers must report details such as the date of service, type of service provided, diagnosis codes, and other relevant information for each Medicaid beneficiary.
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