Form DHS-3340-ENG Asset Assessment for Medical Assistance for Long-Term Care Services (Ma-Ltc) - Minnesota

Form DHS-3340-ENG Asset Assessment for Medical Assistance for Long-Term Care Services (Ma-Ltc) - Minnesota

What Is Form DHS-3340-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-3340-ENG?
A: DHS-3340-ENG is a form for Asset Assessment for Medical Assistance for Long-Term Care Services (Ma-Ltc) in Minnesota.

Q: What is Ma-Ltc?
A: Ma-Ltc stands for Medical Assistance for Long-Term Care Services.

Q: What is the purpose of the form?
A: The purpose of the form is to assess the assets of an individual applying for Medical Assistance for Long-Term Care Services in Minnesota.

Q: Who needs to fill out this form?
A: The form needs to be filled out by individuals applying for Medical Assistance for Long-Term Care Services in Minnesota.

Q: Is this form specific to Minnesota?
A: Yes, this form is specific to Minnesota.

Q: What information is required on this form?
A: The form requires information about the applicant's assets, income, expenses, and other relevant financial information.

Q: Why is asset assessment necessary?
A: Asset assessment is necessary to determine if an individual qualifies for Medical Assistance for Long-Term Care Services based on their financial eligibility.

Q: Can I apply for Medical Assistance without filling out this form?
A: No, filling out this form is necessary to apply for Medical Assistance for Long-Term Care Services in Minnesota.

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Form Details:

  • Released on October 1, 2019;
  • 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-3340-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-3340-ENG Asset Assessment for Medical Assistance for Long-Term Care Services (Ma-Ltc) - Minnesota

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