 DHS-2402B-ENG Change Report Form for the Supplemental Nutrition Assistance Program
DHS-2598-ENG DAANES Notification of Data Collection
DHS-2630-ENG Alternative Care Program Eligibility Worksheet
DHS-2630A-ENG Alternative Care Program Eligibility Worksheet Type A
DHS-3159C-ENG Minnesota Voluntary Recognition of Parentage Spouse's Non-Parentage Statement
DHS-3159E-ENG Minnesota's Spouse's Non-parentage Statement Revocation Form (HMN | SOM | SPA)
DHS-3491-ENG Behavioral Health Fund (BHF) Provider Assurance Statement
DHS-3727-ENG Combined Annual Renewal For Certain Populations
DHS-3799-ENG Child foster care notice to relatives
DHS-4117-ENG Automatic withdrawal for your support payments (HMN | SOM | SPA)
DHS-5788A-ENG CDCS Community Support Plan
DHS-5788B-ENG CDCS Behavioral Supports Request Form
DHS-5788C-ENG CDCS Specialized Therapy Request Form
DHS-5788D-ENG CDCS Special Diet Request Form
DHS-6185-ENG Fraud Application System Environment (FASE) Access Form
DHS-6381-ENG Residential or Inpatient Behavioral Health Fund (BHF) Service Request
DHS-6382-ENG Outpatient Behavioral Health Fund (BHF) Service Request
DHS-6633A-ENG CDCS Community Support Plan Addendum
DHS-6683-ENG Essential Community Supports Program (ECS) Eligibility Worksheet
DHS-6683A-ENG Essential Community Supports Program (ECS) Eligibility Worksheet Type A
DHS-6826-ENG Essential Community Supports Program (ECS) Financial Disclosure Form
DHS-6893N-ENG Consultation services provider CFSS service delivery plan cover sheet
DHS-6893P-ENG CFSS Individual Service Delivery Plan
DHS-6893W-ENG Lead agency addendum to CFSS Individual Service Delivery Plan (DHS-6893)
DHS-7120B-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Provider Agency Assurance Statement
DHS-7120D-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Level I Provider Assurance Statement
DHS-7192-ENG We Have Denied Your Health Plan Enrollment or Change Request
DHS-7343-ENG Housing Stabilization Conflict of Interest Exception Request – Cultural or Common Language Shortage Area
DHS-8009-ENG Child Welfare opiate allocation – three year agency plan
DHS-8248-ENG Report to Court Non-ICWA, Non-MIFPA
DHS-8262-ENG Minnesota Health Care Programs Renewal for Families, Children and Adults (HMN | RUS | SOM | SPA | VIE)
DHS-8513-ENG Recuperative Care Extended Stay Request
DHS-8555-ENG Eligible for Manual Reimbursement for Medicare Part B Premiums for MA-EPD Enrollees
DHS-8644-ENG Mental Health Services in Special Education (MH-SPED) Summary and Recommendations
DHS-8645-ENG Mental Health Services in Special Education (MH-SPED) Checklist
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