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Cedar Rapids Iowa online Form 4876-A: What You Should Know

Medicaid — The following are forms that you may be required to fill out before you may begin the Medicaid application process: Application for a Certificate of Eligibility for Medicaid Mailing Address for Medicaid (or the other programs) Medicaid Application Form (Form MN-6) For information about the other services that you may be eligible for or to fill out, please call the Health and Human Services Administration at the phone numbers below: Mailing Address for the Medical Services Division 11 E. Eighth St, Suite 200L Cedar Rapids, IA 52404 Iowa State Health Care System P.O. Box 713 Des Moines, IA 50 Medicaid Application Form (Form MN-6) For information on how to fill out the various forms, please call the Health and Human Services Administration at the following information. Iowa State Health Care System P.O. Box 713 Des Moines, IA 50 The City of Cedar Rapids, Iowa is now using a new system. You can find this information in “Other Services” of the city's website: City of Cedar Rapids, Iowa. You will find the new site in “About Our Services.” All current City of Cedar Rapids, Iowa contracts and agreements with private and government organizations must be in a readable format in order for them to be processed, and if a new contract is signed, it will need to be entered in the system. If you have an open contract, please be sure to complete it and print and complete the attached “Contract with Other Agent” form. If an agreement is being renegotiated, please be sure to complete the forms and print and complete the applicable contract. The City has a contract-management division in the Human Services division that works closely with us on procurement programs, and we will help guide you through the necessary steps required to make sure it is completed correctly.

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