Forms published to eDocs (May 2021) Minnesota Department of Human Services sent this bulletin at 06/01/2021 06:23 AM CDT Forms published to eDocs May 2021 DHS-0029G-ENG MHCP Medical Assistance for Families with Children and Adults (MA-FCA) Income Eligibility DHS-3203-ENG Referral for an MA Lien or Notice of Potential Claim DHS-3535-ENG MHCP Individual Provider Profile Change Form DHS-4258D-ENG Minnesota Adoption and Child Foster Care Home Study Assessment DHS-5052-ENG Individualized Education Program (IEP) Services Annual Data Report Form DHS-5107-ENG Administration of the Child Care Assistance Program - 2022 - 2023 County and Tribal Child Care Fund Plan DHS-6322A-ENG Additional Dialectical Behavior Therapy (DBT) Authorization Form DHS-6633A-ENG CDCS Community Support Plan Addendum DHS-7096-ENG MnCHOICES Primary medical provider's documentation of medical monitoring and treatment needs DHS-7120B-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Provider Assurance Statement DHS-7307A-ENG Housing Focused Person-Centered Plan + HCBS Rights Modification DHS-8091-ENG Minnesota Child Care Assistance Program Data request form The following form(s) were made obsolete: DHS-6189L - Housing Access Coordination Providers Applicant Assurance Statement 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. If you have questions, contact the eDocs Helpdesk. In order to view PDF forms on eDocs, download the latest FREE version of Adobe Reader.