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Form DHS-4022A-ENG Pcpo Provider Agreement Addendum - Minnesota Health Care Programs (Mhcp) - Minnesota
What Is Form DHS-4022A-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 the DHS-4022A-ENG form?
A: The DHS-4022A-ENG form is the Provider Agreement Addendum for Minnesota Health Care Programs (MHCP).
Q: What is Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) is a healthcare program offered in Minnesota.
Q: What does the Provider Agreement Addendum do?
A: The Provider Agreement Addendum is a form that providers must sign to participate in the Minnesota Health Care Programs (MHCP).
Q: Who needs to sign the Provider Agreement Addendum?
A: Providers participating in the Minnesota Health Care Programs (MHCP) need to sign the Provider Agreement Addendum.
Form Details:
- Released on February 1, 2021;
- 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-4022A-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
Download Form DHS-4022A-ENG Pcpo Provider Agreement Addendum - Minnesota Health Care Programs (Mhcp) - Minnesota
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