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About Iowa Medicaid Member Services Claim Forms and Instructions Important Information Regarding Claims Forms The claims forms provided on this website are for reference purposes only. In order to process claims, IME must have original versions of the forms. Please do not submit claims on the forms found on this website.Where can I get an original copy of a claim form?
Original versions of the CMS-1500, UB-04 and Dental Claim forms can be found at office supply stores. Originals of the Targeted Medical Care claim forms can be requested from IME by contacting Provider Services at 1-800-338-7909or locally at 515-256-4609. Health Insurance Claim Form Instructions and Sample FormsWhat is a CDAC agreement?
CDAC agreement is completed in a collaboration between the member, provider and case manager. The CDAC agreement is part of the member’s Person Centered Service Plan and must be approved by Iowa Total Care prior to beginning services. This agreement needs to be completed at least annually or whenever there is a change in the member’s needs.What does CDAC stand for in nursing?
Consumer Directed Attendant Care. In the Home and Community Based Services (HCBS) waiver program, there is an opportunity for people to have help in their own homes. Consumer Directed Attendant Care (CDAC) services are designed to help people do things that they normally would for themselves if they were able.