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DHS-1609 - Nonreceipt/Replacement Affidavit (ENG, SPA)
DHS-2116-ENG Notice to Apply for Other Maintenance Benefits
DHS-2414 - Notice of Late or Incomplete Household Report Form, Health Care Renewal Form, Combined Six-Month Report or Recertification (ENG, HMN, RUS, SOM, SPA, VIE)
DHS-2727-ENG Long-Term Services and Supports Assessment and Program Information and Signature Sheet
DHS-2776-ENG Computation of MFIP Overpayment Worksheet
DHS-2776A-ENG Computation of Supplemental Nutrition Assistance Program Overpayment Worksheet
DHS-5181-ENG LTC: Communication of long-term supports and services eligibility form
DHS-5576A-ENG Combined Six-Month Report -- Supplement for Cash Programs
DHS-6749A-ENG GA or MSA Notice of Drug Felon Match
DHS-6749B-ENG MFIP Notice of Drug Felon Match
DHS-7018-ENG Disclosure of Funding Form – Grant RFP
DHS-7325-ENG 1115 Substance Use Disorder System Reform Enrollment Checklist
DHS-8062-ENG Setting Capacity Report
DHS-8157-ENG Elderly Waiver Customized Living Services Disproportionate Share Facility Application
DHS-8264E-ENG OPIP Measure 5 & 6 Self Assessment
Form(s) made obsolete:
DHS-5204-ENG - Alcohol and Drug Abuse Division Rule 25 Assessment
DHS-5638-ENG - Mental Health Targeted Case Management (MH-TCM) Contract Cover Sheet
DHS-6330-ENG - Qualified Mental Health Professional Clinical Supervision Assurance Statement
DHS-8264C-ENG - Opioid Prescribing Improvement Program: Measure 5 self-assessment
DHS-8264D-ENG - Opioid Prescribing Improvement Program: Measure 6 self-assessment
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