DHS-2630-ENG Alternative Care Program Eligibility Worksheet for Unmarried Individuals or Married Couples When Both May Choose the Alternative Care Program or a Married Person Whose Spouse Is an EW Recipient or Is Living in a Nursing Facility

DHS-2630A-ENG Alternative Care Program Eligibility Worksheet for a Married Person who has a Community Spouse

DHS-3159-SPA Minnesota Voluntary Recognition of Parentage - Spanish

DHS-3903-ENG Alternative Payment Methodology Election for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)

DHS-3956-ENG Elderly Waiver Conversion Rate Request

DHS-4005-ENG Telephone Equipment Distribution Program Application

DHS-4106C-ENG Health plan enrollment form for people 65 years old or older

DHS-4602-ENG CCAP Medical Condition Documentation Form

DHS-4719-ENG Guidelines for Developing Policies and Procedures – Licensed Child Care Centers

DHS-5274-HMN Minnesota Child Care Assistance Program Redetermination Form - Hmong

DHS-5274-RUS Minnesota Child Care Assistance Program Redetermination Form - Russian

DHS-5274-SOM Minnesota Child Care Assistance Program Redetermination Form - Somali

DHS-5274-SPA Minnesota Child Care Assistance Program Redetermination Form - Spanish

DHS-5274-VIE Minnesota Child Care Assistance Program Redetermination Form - Vietnamese

DHS-6633A-ENG CDCS Community Support Plan Addendum

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

DHS-7118-ENG License universal application

DHS-7120B-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Provider Agency Assurance Statement

DHS-7307-HMN Housing Focused Person-Centered Plan - Hmong 

DHS-7307-SOM Housing Focused Person-Centered Plan - Somali 

DHS-7307-SPA Housing Focused Person-Centered Plan - Spanish

DHS-7307A-HMN Housing Focused Person-Centered Plan + HCBS Rights Modification Form - Hmong

DHS-7307A-SOM Housing Focused Person-Centered Plan + HCBS Rights Modification Form - Somali 

DHS-7307A-SPA Housing Focused Person-Centered Plan + HCBS Rights Modification Form - Spanish

DHS-7342-ENG Housing Stabilization Conflict of Interest Exception Request – Geographic Shortage Area 

DHS-7343-ENG Housing Stabilization Conflict of Interest Exception Request – Cultural or Common Language Shortage Area

DHS-8107-ENG Household Update Form

DHS-8142-ENG Opioid Prescribing Quality Improvement Report Form

DHS-8156-ENG Mental Health Program Client Safety Plan

DHS-8157-ENG Disproportionate Share Facility Application