PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHS-3903-ENG
for the current year.
Form DHS-3903-ENG Alternative Payment Methodology Election for Federally Qualified Health Centers (Fqhcs) and Rural Health Clinics (Rhcs) - Minnesota
What Is Form DHS-3903-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-3903-ENG?
A: DHS-3903-ENG is a form for the Alternative Payment Methodology Election for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Minnesota.
Q: What is the Alternative Payment Methodology?
A: The Alternative Payment Methodology is a payment approach for FQHCs and RHCs that allows them to opt for a different payment structure.
Q: Who can use DHS-3903-ENG?
A: FQHCs and RHCs in Minnesota can use this form to make an election for the Alternative Payment Methodology.
Q: Why would FQHCs and RHCs choose the Alternative Payment Methodology?
A: FQHCs and RHCs may choose this methodology to better align their payment structure with the services they provide.
Form Details:
- Released on January 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-3903-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
