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Obtaining Approval as an Iowa Provider

The initial approval process is comprised of submitting the information requested on the application, as specified in 655 IAC, Chapter 5.  

See these forms to apply:

Provider Fillable Form 
Provider Application Materials

NOTE: All of the application materials must be submitted in triplicate.

There is no application fee.

Once the completed application has been received by the board, it will be scheduled for review within 60 days. Within approximately two weeks of the review, a letter will be sent that will detail any additions and/or revisions that might be necessary. The administrative rules allow the applicant two committee reviews or one year to meet provider criteria, whichever comes first. If the provider approval is denied, there is a waiting period of one year before the application process can be initiated again.

If the provider applicant is approved, provider approval is awarded for five years. The application for provider reapproval is sent six months before the expiration of the current approval.

For additional information on obtaining approval as an Iowa Provider go to 655 Iowa Administrative Code - Chapter 5.

Reference: IAC 655, Chapter 5 - 5.3(3)

Last updated: 2/2018