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.
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.
Form Details:
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.