Human Services

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

61 - 80 of 128 forms

Form Title Topics
Home- and Community-Based Services (HCBS) Residential Setting Member Assessment Human Services
Home Health Agencies (HHA) - EPSDT Financial and Statistical Report Human Services
Home Health Agencies (HHA) - EPSDT Financial and Statistical Report/ins Human Services
Home Health Retrospective Medical Review Fax Cover Form Human Services
Independent Support Broker Agreement Human Services
Individual Consumer Directed Attendant Care (CDAC) Disclosure Human Services
Insurance Update Fee-for-Service (FFS) Members Human Services
Intermediate Care Facilities for Individuals with an Intellectual Disability Calculation Worksheet Human Services
Iowa Medicaid Accountable Care Organization (ACO) Agreement Human Services
Iowa Medicaid Critical Incident Report Human Services
Iowa Medicaid Enterprise (IME) Inpatient Psychiatric Prior Authorization Human Services
Iowa Medicaid Enterprise (IME) Provider Enrollment Application Fee Hardship Exemption Request Human Services
Iowa Medicaid HCBS Waiver Provider Application Human Services
Iowa Medicaid Health Home Provider Agreement Human Services
Iowa Medicaid Health Home Provider Application Human Services
Iowa Medicaid Integrated Health Home Provider Agreement General Terms Human Services
Iowa Medicaid Memorandum of Understanding (MOU) for Value Based Purchasing Support Activities Human Services
Iowa Medicaid Mileage Reimbursement Trip Log and Claim Form Human Services
Iowa Medicaid Notice of Decision - Access2Care Human Services
Iowa Medicaid Ordering/Referring Provider Enrollment Application 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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