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IA Form 470-5482(M) 2018 free printable template

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IOWA DEPT. OF HUMAN SERVICES Iowa Department of Human Services Medicaid/State Supp Review Para traducing all Español: 18773475678 USE ONLY BLUE OR BLACK INK.IOWA DEPT. OF HUMAN Services Date Case
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How to fill out IA Form 470-5482(M)

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Obtain a copy of IA Form 470-5482(M) from the appropriate source.
02
Read the instructions carefully before starting to fill out the form.
03
Enter your full name in the designated field.
04
Provide your contact information, including address, phone number, and email.
05
Fill out the date of birth and social security number as required.
06
Complete sections related to your eligibility and purpose for filing the form.
07
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Sign and date the form where indicated.
09
Submit the completed form as per the submission guidelines provided.

Who needs IA Form 470-5482(M)?

01
Individuals who are applying for specific assistance programs or benefits.
02
Applicants seeking financial aid or relief through designated agencies.
03
Those required to report certain information to local or state organizations.
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People Also Ask about

Medicaid State Plan Documents The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate.
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
In 2023, the Medically Needy Income Limit (MNIL) for individuals is the same as for married couples and is $483 / month. The amount one must “spend down” can be thought of as a deductible. It is the difference between one's monthly income and the MNIL. In IA, the spend down is calculated for a 2-month period.
Person who is Aged, Blind, and/or Disabled Apply if you are aged (65 years old or older), blind, or disabled and have limited income and resources. Apply if you are terminally ill and want to get hospice services. Apply if you are aged, blind, or disabled; live in a nursing home; and have limited income and resources.
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)
Generally, if your provider provides all information to Iowa Medicaid the timeframe is generally 10-15 business days.

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IA Form 470-5482(M) is a specific form used for reporting certain financial details to the Iowa tax authority.
Individuals or entities that meet specific income or business criteria as defined by Iowa tax regulations are required to file IA Form 470-5482(M).
To fill out IA Form 470-5482(M), gather necessary financial documentation, provide accurate personal or business information, and follow the instructions provided on the form.
The purpose of IA Form 470-5482(M) is to report income, deductions, and other relevant financial information to ensure compliance with Iowa tax laws.
The information that must be reported on IA Form 470-5482(M) includes income details, deductions, tax credits, personal identification information, and any other required financial data.
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