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Feb 12, 2005 PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY). 2. REPORT TYPE. 3. DATES COVERED (From - To).Read more
Iowa Medicaid. Mileage Reimbursement Trip Log and Claim Form. Must be sent to: Access2Care. 405 SW 5th Street, Suite C. Des Moines, IA 50309-4609.Read more
MILEAGE. Rates: Round-trip personal mileage rates: 100 miles = $0.575/mile or = 100 miles = $0.285/mile. Multiple Round-Trips: For extended trips, you canRead more