This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the SFN54191 form?
A: The SFN54191 form is the enrollment application for the Ryan White Part B Program in North Dakota.
Q: What is the Ryan White Part B Program?
A: The Ryan White Part B Program is a federal program that provides funding for HIV/AIDS care and treatment services.
Q: Who can enroll in the Ryan White Part B Program in North Dakota?
A: Individuals living with HIV/AIDS who meet the eligibility criteria can enroll in the Ryan White Part B Program in North Dakota.
Q: What are the eligibility criteria for enrollment in the program?
A: The eligibility criteria for enrollment in the Ryan White Part B Program in North Dakota include being diagnosed with HIV/AIDS and meeting income guidelines.
Q: What services are provided through the Ryan White Part B Program?
A: The Ryan White Part B Program in North Dakota provides a range of HIV/AIDS care and treatment services, including medical care, medications, case management, and support services.
Q: Is there a deadline for submitting the enrollment application?
A: There may be a deadline for submitting the enrollment application for the Ryan White Part B Program in North Dakota. It is recommended to contact the North Dakota Department of Health for specific information.
Q: Are there any fees associated with enrollment in the program?
A: No, there are no fees associated with enrolling in the Ryan White Part B Program in North Dakota.
Q: Can I receive assistance with completing the enrollment application?
A: Yes, the North Dakota Department of Health can provide assistance with completing the SFN54191 enrollment application for the Ryan White Part B Program.
Form Details:
Download a fillable version of Form SFN54191 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.