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Click ‘Get Form’ to open the elderly waiver application in our platform's editor.
Begin by reading the introductory letter from the State of Iowa. Circle your chosen Case Management agency, then sign and date the letter.
Complete the Home and Community Based Services (HCBS) Assessment form. Ensure you sign and date this form as well.
Fill out the Health Services Application thoroughly. Pay attention to each section, providing accurate information about your income, resources, and health insurance.
Once all forms are completed, you can easily fax or mail them directly from our platform to the appropriate Department of Human Services address based on your county.
Include copies of necessary documents such as your picture ID, Social Security Card, and bank statements to expedite processing.
Make sure to keep copies of everything you send for your records. This will help if any follow-up is needed.

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