Iowa Admin. Code r. 441-120.2
Current through Register Vol. 47, No. 10, November 13, 2024
A provider shall apply for payment on Form 470-2890, Payment Application for Nonregistered Providers, provided by the department's local office or on the department's Web site. The provider shall also use Form 470-2890 to inform the department of any changes in circumstances that would affect the provider.
Iowa Admin. Code r. 441-120.2