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DHS-3547-ENG Medical Assistance for Employed Persons with Disabilities (MA-EPD) Initial Premium Notice (HMN | RUS | SOM | SPA | VIE)
DHS-3730A-ENG Mental Health Uniform Service Standards Personnel Record
DHS-3754-ENG Service Agreement and Screening Document (SASD) Support Team Portal
DHS-4074-ENG MA Home Care Technical Change Request
DHS-4074A-ENG Personal Care Assistance (PCA) Technical Change Request
DHS-4292-ENG PCA Request Form
DHS-4689A-ENG Screening Deletion Request
DHS-4719A-ENG Guidelines for Developing Policies and Procedures for Certified Child Care Centers
DHS-5192-ENG Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment
DHS-5426B-ENG Long Term Care Partnership Insurance Policy Evaluation
DHS-6321-ENG Human Services Performance Management System Claim for Extenuating Circumstances
DHS-6791A-ENG MnCHOICES Assessment Summary Worksheet
DHS-7168-ENG Performance Management System Performance Improvement Plans
DHS-7168A-ENG Performance Management System Performance Improvement Plans – Addendum
DHS-7948-ENG Housing Stabilization Services Eligibility Request
DHS-8369-ENG Consent to Access Federal Tax Information (HMN | RUS | SOM | SPA |VIE)
DHS-8376-ENG SNAP Homeless Shelter Deduction Worksheet
DHS-8398-ENG Targeted Case Management Provider Interactive Video Assurance Statement
Form(s) made obsolete:
DHS-3261-ENG MHCP Expense Reimbursement Form
DHS-3730-ENG Adult Rehabilitative Mental Health Services (ARMHS) Recertification Recipient Record Review
DHS-3769A-ENG Legal Nonlicensed (LNL) Provider Training Acknowledgment Form
DHS-5223F-ENG Supplemental Nutrition Assistance Program (SNAP) Application for Seniors (Individuals and couples age 60 and older)
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