Human Services

State of Iowa

Official Website: http://dhs.iowa.gov

Mission is to help Iowans achieve healthy, safe, stable, and self-sufficient lives through the programs and services we provide.

Forms & Documents

Browse all Human Services government forms

101 - 120 of 128 forms

Form Title Topics
Nursing Facility Enhanced Medicaid Payment Report/Instructions Human Services
Nursing Facility Quality Assurance Assessment Calculation Worksheet Human Services
Nursing Facility Quality Assurance Assessment Calculation Worksheet/Instructions Human Services
Nursing Facility Supplementation Payment Report Human Services
Off Year Assessment Human Services
PACE Program Level of Care Assessment Form Human Services
PCM Pharmacist Eligibility Application - Instructions Human Services
PCM Pharmacy Eligibility Application - Instructions Human Services
PCM Request for Patient Eligibility Human Services
Pharmaceutical Care Management (PCM) Billing Tool Human Services
Pharmacy Point of Sale (POS) Agreement Human Services
Private Duty Nursing/PC Program- Retrospective Medical Review Human Services
Provider Request to Terminate Enrollment Human Services
Qualified Entity (QE) Medicaid Presumptive Eligibility Portal (MPEP) Access Request Form Human Services
Qualified Entity (QE) Medicaid Presumptive Eligibility Portal (MPEP) Recertification Human Services
Record Check Evaluation Human Services
Recoupment Request Human Services
Request for Medicaid Services Data Changes and Verifications Human Services
Request for Prior Authorization Human Services
Revocation of Medicaid Hospice Benefit Human Services

Contact Information & Office Locations

All 20 contact points

Adel Office

Address:
25747 N Avenue
Adel, IA 50003

Phone numbers:
  • (800) 397-3232

Buchanan County Office

Address:
1415 1st St W
#0753
Independence, IA 50644

Phone numbers:
  • (319) 334-6091

Buena Vista County Office

Address:
311 E 5th St
Storm Lake, IA 50588

Phone numbers:
  • (712) 749-2536

Clay County Office

Address:
1900 Grand Ave
Suite E-8
Spencer, IA 51301

Phone numbers:
  • (712) 262-3586

Clinton County Office

Address:
121 6th Ave S
Ste 200
Clinton, IA 52732

Phone numbers:
  • (563) 242-0573

Des Moines County Office

Address:
560 Division St
# 200
Burlington, IA 52601

Phone numbers:
  • (319) 754-4622

Des Moines Office

Address:
1305 E Walnut St.
Des Moines, IA 50319

Phone numbers:
  • (800) 972-2017

Dubuque County Office

Address:
799 Main St
Dubuque, IA 52001

Phone numbers:
  • (563) 557-8251

Henry County Office

Address:
205 W Madison St
Mt Pleasant, IA 52641

Phone numbers:
  • (319) 986-5157

Johnson County Office

Address:
855 S Dubuque St
Iowa City, IA 52240

Phone numbers:
  • (319) 356-6050

Lee County Office

Address:
307 Bank St
Keokuk, IA 52632

Phone numbers:
  • (319) 524-1052

Linn County Office

Address:
1240 26th Ave Ct SW
Cedar Rapids, IA 52404

Phone numbers:
  • (319) 892-6700

Mahaska County Office

Address:
410 S 11th St
Oskaloosa, IA 52577

Phone numbers:
  • (641) 673-3496

Muscatine County Office

Address:
315 Iowa Ave
Muscatine, IA 52761

Phone numbers:
  • (563) 263-9302

Plymouth County Office

Address:
19 2nd Ave NW
Le Mars, IA 51031

Phone numbers:
  • (712) 546-8877

Polk County Office

Address:
2309 Euclid Ave
Des Moines, IA 50314

Phone numbers:
  • (515) 725-2600

Story County Office

Address:
126 S Kellogg Ave
#101
Ames, IA 50010

Phone numbers:
  • (515) 292-2035

Wapello County Office

Address:
120 E Main St
Ottumwa, IA 52501

Phone numbers:
  • (641) 682-8793

Waterloo Office

Address:
4300, 1407 Independence Ave # 2
Waterloo, IA 50703

Phone numbers:
  • (319) 291-2441

Webster County Office

Address:
330 1st Ave N
Fort Dodge, IA 50501

Phone numbers:
  • (515) 955-6353

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