LTC Screening
Document – DHS3427 version 9-16
- Value 11 in the Legal Representative Status field was changed
from Health Conservator to Health Care Agent. You will see this new name
on the MMIS screen whenever you use value 11.
Minnesota Long Term Care Consultation Service Assessment Form – DHS-3428 version 9-16
- Value 11 in the Legal Representative Status field was changed from Health Conservator to Health Care Agent.
- Added the Citizenship field for Alernative Care and Essential Community Supports programs. This is item L.8 and will merge to the LTC screening document.
Minnesota Long-Term Care Consultation Service Assessment
Form: SW Section – DHS 3428A
version 9-16
- Value 11 in the Legal Representative Status field was changed
from Health Conservator to Health Care Agent.
- Added the Citizenship field for Alernative Care and Essential
Community Supports programs. This is item I.8 and will merge to the LTC
screening document.
Please download and use these new versions. Thank you!
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