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IA 470-4299 2015-2025 free printable template

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Iowa Department of Human Services Verification of Emergency Health Care Services Client Name (print or type): SID #: County & Worker #: Parent/Guardian: SS #: Date of Birth: I give permission to the
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Income & Asset Limits for Eligibility 2023 Iowa Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month$2,0001 more row • Dec 19, 2022
1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
Iowa has a 60-month (5 years) look-back period, meaning Medicaid will look back five years to see if anything was sold at less than reasonable value, including gifts. Suppose the Department of Human Services (DHS) finds any violations. In that case, a person will lose Medicaid eligibility for a certain amount of time.
To qualify for the Health and Wellness plan, you must be between the ages of 19 and 64 and have an income below 133% of the Federal Poverty Level (about $15,521 for one person or $20,921 for a family of two in 2019).
1-800-338-7752 (toll-free)
Call our toll-free Provider Services number at 833-404-1061 from any touch-tone phone and follow the appropriate menu options to reach our automated member eligibility-verification system 24 hours a day. The automated system will prompt you to enter the member Medicaid ID and the month of service to check eligibility.

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470 4299 is a form used for reporting income to the tax authorities.
Individuals and businesses who have taxable income are required to file 470 4299.
You can fill out 470 4299 online or by mail, providing all required information about your income.
The purpose of 470 4299 is to report taxable income and calculate the amount of tax owed.
You must report all sources of income, deductions, and credits on 470 4299.
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