Form DHS-2128-ENG Renewal for People Receiving Long-Term Care Services - Minnesota

Form DHS-2128-ENG Renewal for People Receiving Long-Term Care Services - Minnesota

What Is Form DHS-2128-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHS-2128-ENG?
A: Form DHS-2128-ENG is the renewal application for people receiving long-term care services in Minnesota.

Q: Who can use Form DHS-2128-ENG?
A: Form DHS-2128-ENG can be used by individuals who are currently receiving long-term care services in Minnesota and need to renew their eligibility.

Q: What are long-term care services?
A: Long-term care services are a range of services provided to individuals who have difficulty with activities of daily living due to age, illness, or disability. These services can include assistance with bathing, dressing, medication management, and more.

Q: How do I renew my eligibility for long-term care services using Form DHS-2128-ENG?
A: To renew your eligibility for long-term care services, you need to complete and submit Form DHS-2128-ENG to the appropriate office or agency. The form will ask for updated information about your current situation and needs.

Q: What information do I need to complete Form DHS-2128-ENG?
A: You will need to provide information about your current living situation, medical conditions, income, assets, and any changes in your needs since your last eligibility determination. The form will specify the exact information required.

Q: When should I submit Form DHS-2128-ENG?
A: You should submit Form DHS-2128-ENG prior to the expiration of your current eligibility. It is recommended to submit the form at least 30 days before your eligibility end date to ensure uninterrupted services.

Q: Can I request an extension if I can't submit Form DHS-2128-ENG on time?
A: Yes, you can request an extension if you are unable to submit Form DHS-2128-ENG on time. Contact the appropriate office or agency to discuss your situation and request an extension.

Q: What happens after I submit Form DHS-2128-ENG?
A: After you submit Form DHS-2128-ENG, the office or agency will review your application and determine your eligibility for continued long-term care services. You may be contacted for additional information if needed.

Q: How will I be notified of my eligibility determination?
A: You will receive a written notice from the office or agency informing you of their decision regarding your eligibility for continued long-term care services.

Q: What should I do if my eligibility is denied or I disagree with the decision?
A: If your eligibility is denied or you disagree with the decision, you have the right to appeal the decision. The written notice you receive will provide instructions on how to appeal.

Q: Are there any fees associated with submitting Form DHS-2128-ENG?
A: There are no fees associated with submitting Form DHS-2128-ENG. It is free to apply for renewal of long-term care services in Minnesota.

Q: Can I get help filling out Form DHS-2128-ENG?
A: Yes, you can get help filling out Form DHS-2128-ENG. You can seek assistance from the appropriate office or agency or consult with a social worker or other professionals familiar with the application process.

Q: Is Form DHS-2128-ENG available in languages other than English?
A: Form DHS-2128-ENG is available in multiple languages, including Spanish, Hmong, Somali, and others. Contact the appropriate office or agency to request a copy in a different language.

Q: How often do I need to renew my eligibility for long-term care services?
A: The frequency of eligibility renewal for long-term care services varies depending on the program and individual circumstances. You should follow the instructions provided by the office or agency on when and how to renew your eligibility.

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Form Details:

  • Released on January 1, 2015;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS-2128-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-2128-ENG Renewal for People Receiving Long-Term Care Services - Minnesota

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