Form DHS-3873-ENG Supported Employment Service - Moving Home Minnesota - Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-3873-ENG Supported Employment Service - Moving Home Minnesota - Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-3873-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 Form DHS-3873-ENG?
A: Form DHS-3873-ENG is a Provider Assurance Statement for Moving Home Minnesota Supported Employment Service.

Q: What is Moving Home Minnesota?
A: Moving Home Minnesota is a program that helps individuals with disabilities transition to community-based settings.

Q: What is Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) is a public healthcare program that provides medical coverage for eligible individuals in Minnesota.

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Form Details:

  • Released on August 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-3873-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-3873-ENG Supported Employment Service - Moving Home Minnesota - Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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