DHS-3427-ENG LTC Screening Document - AC, BI, CAC, CADI, ECS, EW, MHM, MSC+, MSHO

DHS-3539-ENG Ryan White Annual Certification

DHS-4022-ENG Minnesota Health Care Programs Personal Care Provider Organization or Personal Care Assistant Choice Provider Enrollment Application

DHS-4106A-ENG Health plan enrollment form

DHS-4931-ENG Unreimbursed and/or uninsured medical/dental expenses packet

DHS-5678-ENG Request for Individual Personal Care Assistant (PCA) Enrollment Resubmission

DHS-5678A-ENG Request for Consumer Directed Community Support (CDCS) and Consumer Support Grant (CSG) Enrollment Resubmission

DHS-6633A-ENG CDCS Community Support Plan Addendum with 2020-21 Budget Increase

DHS-6633B-ENG CDCS Enhanced Budget Request and Community Support Plan Addendum

DHS-6791A-ENG MnCHOICES Community Support Plan Worksheet

DHS-7093A-ENG Request to apply for behavioral health home (BHH) services certification

DHS-7109-ENG Individual Treatment Plan (ITP) and Progress Monitoring

DHS-7118-ENG License universal application

DHS-7310-ENG Application for MA Coverage for COVID-19 Testing

DHS-7348-ENG Annual Goal and Development Plan

DHS-7350-ENG Background Studies Division Contact Form

DHS-7354-ENG COVID-19 Preparedness Plan Verification Form

DHS-7940-ENG Confidential address options during court action

DHS-7948-ENG Housing Stabilization Services Eligibility Request

DHS-7952A-ENG Yearly In-Service Training Record - Licensed Child Care Centers

DHS-7953A-ENG Orientation Training Record - Licensed Child Care Centers