DHS-2402B-ENG Change Report Form for the Supplemental Nutrition Assistance Program

DHS-2646-ENG Financial Aid Information

DHS-4005-ENG Telephone Equipment Distribution Program Application

DHS-4015-ENG Home and Community Based Services (HCBS) – Provider Enrollment Application

DHS-4016-ENG MHCP Individual Provider Enrollment Application

DHS-4016A-ENG Organization - Provider Enrollment Application

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

DHS-4049-ENG Billing Intermediaries, Clearinghouses and EDI Trading Partners Provider Enrollment Application

DHS-4106A-ENG Health plan enrollment form

DHS-4138-ENG MHCP Provider Agreement

DHS-4469-ENG Individual Personal Care Assistant (PCA) Enrollment Application

DHS-4469A-ENG Individual Direct Support Worker Enrollment Application (Consumer Directed Community Supports [CDCS] and Consumer Support Grant [CSG])

DHS-4474-ENG Health Care Case Coordinator – Provider Enrollment Application

DHS-5192F-ENG Minnesota Child Care Assistance Program Group Size and Age Limits for Legal Nonlicensed (LNL) Child Care Providers

DHS-5223-ENG MDHS Combined Application Form

DHS-5223E-HMN Program Change Request: Minnesota Transition Application Form - Hmong

DHS-5223E-RUS Program Change Request: Minnesota Transition Application Form - Russian

DHS-5223E-SOM Program Change Request: Minnesota Transition Application Form - Somali

DHS-5223E-SPA Program Change Request: Minnesota Transition Application Form - Spanish

DHS-5223E-VIE Program Change Request: Minnesota Transition Application Form

DHS-5859-ENG Third Party Administrator Enrollment Application

DHS-5748-ENG Community Mental Health Center Assurance Statemen

DHS-6368-ENG Direct Care and Treatment Organization – Provider Enrollment Application

DHS-6383-ENG Lead Agency Assurance Statement: HCBS Provider Review and Approval

DHS-6428-ENG Synagis Prior Authorization

DHS-6638-ENG HCBS Programs Service Request Form

DHS-7197-ENG Child Care Assistance Program Case Review - Corrective Action Form

DHS-7356A-ENG Child Care Assistance Program Accuracy Review Income

DHS-7602-ENG Critical Access Dental Payment Program Annual Encounter Data Reporting Form

DHS-7696-ENG Psychiatric Residential Treatment Facility (PRTF) Eligibility for Admission

DHS-8018-ENG Housing Stabilization Services – Provider Enrollment Application

DHS-8097-ENG Qualified residential treatment program (QRTP) Assessment and Recommendation Form

DHS-8107-HMN Household Update Form - Hmong

DHS-8107-RUS Household Update Form - Russian

DHS-8107-SOM Household Update Form - Somali

DHS-8107-SPA Household Update Form - Spanish

DHS-8107-VIE Household Update Form - Vietnamese 

DHS-8111-ENG DHS Material Review Checklist