Form DHS-7176H-ENG Hcbs Rights Modification Support Plan Attachment - Minnesota

Form DHS-7176H-ENG Hcbs Rights Modification Support Plan Attachment - Minnesota

What Is Form DHS-7176H-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 DHS-7176H-ENG?
A: DHS-7176H-ENG is a form specifically used in Minnesota for the modification of HCBS (Home and Community-Based Services) rights support plans.

Q: What is HCBS?
A: HCBS stands for Home and Community-Based Services, which are designed to provide assistance and support to individuals who prefer to receive services in their own homes or communities rather than in institutions.

Q: What is the purpose of the Rights Modification Support Plan Attachment?
A: The purpose of the Rights Modification Support Plan Attachment is to make necessary modifications to the existing HCBS rights support plan for an individual.

Q: Who needs to complete this form?
A: This form needs to be completed by the individual or their representative, along with the HCBS provider and the county or tribal agency.

Q: What information is required on this form?
A: The form requires information about the individual, their current rights support plan, the specific modifications being proposed, and the reasons for those modifications.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2018;
  • 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-7176H-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-7176H-ENG Hcbs Rights Modification Support Plan Attachment - Minnesota

4.6 of 5 (60 votes)
  • Form DHS-7176H-ENG Hcbs Rights Modification Support Plan Attachment - Minnesota, Page 1
ADVERTISEMENT

Related Documents