How to Apply


To apply for Health Care, click here to go to the online DHS benefits portal or click here to download the paper DHS Application (or download the Spanish application).

To discuss another person’s case, please download the Authorization to Obtain or Release Health Care Information form and send the completed form to Imaging Center 4, PO Box 2027 Cedar Rapids, IA 52406 or fax to 515-564-4017.

For information on how to apply for Nursing Facility Medicaid visit the Long Term Care page.  


To apply for the following assistance programs click here to go to the online DHS Financial Support application or click here to download the DHS Financial Support Application (or download the Solicitud de Ayuda Financiera). For help with completing your online application, please contact your local DHS Office.   

  • Food Assistance
  • Child Care Assistance
  • Cash Assistance Family Investment Program or Refugee Cash Assistance
  • State Supplementary Assistance
  • Family Planning
  • Well-Child and Prenatal

Child Support Recovery

Complete and return the Application for Services form found online at  You may also request an application from your local office.  


Please visit the Disaster Assistance page for assistance grants availability and application details.