Common Contracts

2 similar Resident Care Agreement contracts

TO: Intermediate Care Facility for the Intellectually Disabled (ICF/ID) APPLIES TO: Managed Care (MC) and Fee-for-Service (FFS) FROM: Iowa Department of Human Services (DHS), Iowa Medicaid Enterprise (IME) RE: Resident Care Agreement - Revised...
Resident Care Agreement • July 6th, 2018

Iowa law requires a Resident Care Agreement, Form 470-0374, to be completed when a resident is admitted into an Intermediate Care Facility for the Intellectually Disabled (ICF/ID). A copy of the form is to be retained by the resident, the facility, and the Department. The Resident Care Agreement and its instructions has been revised effective August 1, 2018. ICF/ID providers will be required to upload the completed form to Iowa Medicaid Portal Access (IMPA).

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TO: Intermediate Care Facility for the Intellectually Disabled (ICF/ID) APPLIES TO: Managed Care (MC) and Fee-for-Service (FFS) FROM: Iowa Department of Human Services (DHS), Iowa Medicaid Enterprise (IME) RE: Resident Care Agreement - Revised...
Resident Care Agreement • July 6th, 2018

Iowa law requires a Resident Care Agreement, Form 470-0374, to be completed when a resident is admitted into an Intermediate Care Facility for the Intellectually Disabled (ICF/ID). A copy of the form is to be retained by the resident, the facility, and the Department. The Resident Care Agreement and its instructions has been revised effective August 1, 2018. ICF/ID providers will be required to upload the completed form to Iowa Medicaid Portal Access (IMPA).

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