Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Iowa Department of Health and Human Services (Centralized Facility Eligibility Unit, Imaging Center #1) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Iowa Department of Health and Human Services (Centralized Facility Eligibility Unit, Imaging Center #1) fax number
(515) 564-4040
Centralized Facility Eligibility Unit – Imaging Center #1 (Council Bluffs, IA)
Used for: Submitting Medicaid/IME eligibility-related documents and case activity reports to DHS (e.g., Case Activity Report Form 470-0042) and related facility communications.
Fax destination details
- Department
- Centralized Facility Eligibility Unit – Imaging Center #1 (Council Bluffs, IA)
- Purpose
- Submitting Medicaid/IME eligibility-related documents and case activity reports to DHS (e.g., Case Activity Report Form 470-0042) and related facility communications.
- Form
- 470-0042 — Case Activity Report
- Address
- Centralized Facility Eligibility Unit – Imaging Center #1, 417 E Kanesville Blvd, Council Bluffs, IA 51503-4470
- Voice phone
- 877-344-9628
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete sections 1–3 (and 4 if applicable for PMIC/Medicare). Then mail, email, or fax a copy to the DHS Centralized Facility Eligibility Unit, Imaging Center #1. Include required data such as resident name, dates, facility, and level of care.
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