Forms published to eDocs (May 2017)

Minnesota Department of Human Services sent this bulletin at 05/31/2017 05:00 PM CDT

Forms published to eDocs

May 2017

Please note that the following forms may have new web addresses. Web pages or other documents that link to these forms may need to be updated.

DHS-2727-ENG Long-Term Services and Supports Assessment and Program Information and Signature Sheet

DHS-3531-ENG Minnesota Health Care Programs Application for Payment of Long-Term Care Services

DHS-3802A-ENG Application for Disability Services Innovative Grants

DHS-3806-ENG MHCP: Early Intensive Developmental and Behavioral Intervention (EIDBI) Authorization Request

DHS-3838-ENG Opioid Treatment Program Exemption Request and Record of Justification

DHS-4022-ENG Minnesota Health Care Programs Personal Care Providers Application

DHS-4166-ENG Community Support Plan

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