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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHS-5856-ENG
for the current year.
Form DHS-5856-ENG Personal Care Assistance (Pca) Program Responsible Party Agreement and Plan - Minnesota
What Is Form DHS-5856-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 the DHS-5856-ENG Personal Care Assistance (PCA) Program Responsible Party Agreement and Plan?
A: It is a document related to the PCA program in Minnesota.
Q: What is the PCA program?
A: The PCA program is a program that provides personal care assistance services to eligible individuals who need help with activities of daily living.
Q: What is a Responsible Party Agreement and Plan?
A: A Responsible Party Agreement and Plan is a document that outlines the responsibilities and obligations of a responsible party in the PCA program.
Q: Who is the responsible party in the PCA program?
A: The responsible party is someone who helps manage the PCA services for the individual receiving care.
Q: What does the DHS-5856-ENG form include?
A: The form includes information about the responsible party, their obligations, and the services provided under the PCA program.
Form Details:
- Released on October 1, 2012;
- 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-5856-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
