Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send cdac web login via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out 470 3372 with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the 470 3372 in the editor.
Begin by entering the 'Name of Member' and 'Name of CDAC Provider' at the top of the form. Ensure that all names are spelled correctly for accurate processing.
In the 'Agreement' section, both the member and CDAC provider must review and confirm their understanding of responsibilities. This includes detailing emergency plans and evaluating the provider's qualifications.
Fill out the 'Standards for the CDAC provider' section, ensuring to check off necessary skills and provide documentation evidence as required.
Complete the service activities provided by entering time requirements for each activity listed under non-skilled and skilled service components.
Finally, ensure all signatures are obtained from the member, CDAC provider, and case manager before submitting. Save your completed form securely within our platform for future reference.
Start using our platform today to fill out your forms easily and efficiently!
Call our toll-free Provider Services number at 833-404-1061 from any touch-tone phone and follow the appropriate menu options to docHub 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. Eligibility Verification | Medicaid Provider Resources Iowa Total Care providers eligibility-v Iowa Total Care providers eligibility-v
Who are Iowa Medicaid providers?
Provider Services for Managed Care Organizations (MCOs) Iowa Total Care. Phone: 1-833-404-1061. Email: providerrelations@iowatotalcare.com. Molina Healthcare of Iowa, Inc. Email: IAProviderRelations@MolinaHealthcare.com. Phone: 1-844-236-1464. Wellpoint Iowa. Phone: 1-833-731-2143. Email: ProviderSolutionsIA@wellpoint.com. Medicaid Provider Services | Health Human Services Iowa.gov Medicaid Iowa.gov Medicaid
How do you get a Medicaid provider number?
0:20 2:56 Application specific to your provider. Type this application is usually available on the statesMoreApplication specific to your provider. Type this application is usually available on the states Medicaid. Website such as the New York State Department of Health. Website. How Do I Find My Medicaid Provider ID Number? - CountyOffice.org YouTube County Office YouTube County Office
What is the phone number for Iowa Medicaid provider?
Consumer Directed Attendant Care (CDAC) services are designed to help people do things that they normally would for themselves if they were able. People may docHub a point where they need help to remain in their own home. This may happen because of an accident, a lengthy illness, disability, or aging problems.
va form 10 7959c
470-3372 Home- and Community-Based Services (HCBS
Form 470-4389 is available for recording CDAC activities. The record must show that the service is necessary due to the members complaint needs as shown by
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less
