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.
Q: What is Form DHS-3872-ENG?
A: Form DHS-3872-ENG is an Advanced Diagnostic ImagingAssurance Statement for Minnesota Health Care Programs (MHCP) in Minnesota.
Q: What are Advanced Diagnostic Imaging Services?
A: Advanced Diagnostic Imaging Services refer to radiology procedures such as MRI, CT scans, and PET scans that provide detailed images of internal body structures.
Q: Who is required to submit Form DHS-3872-ENG?
A: Health care providers who offer Advanced Diagnostic Imaging Services and participate in Minnesota Health Care Programs (MHCP) need to submit this form.
Q: What does Form DHS-3872-ENG Assurance Statement include?
A: The Assurance Statement includes information about the provider's compliance with safety and quality standards for Advanced Diagnostic Imaging Services.
Q: Why is Form DHS-3872-ENG important?
A: Form DHS-3872-ENG ensures that health care providers offering Advanced Diagnostic Imaging Services in Minnesota Health Care Programs (MHCP) meet the necessary safety and quality standards.
Q: Are there any penalties for not submitting Form DHS-3872-ENG?
A: Failure to submit Form DHS-3872-ENG may result in the denial of reimbursement for Advanced Diagnostic Imaging Services provided to MHCP beneficiaries.
Q: What if I have questions or need assistance with Form DHS-3872-ENG?
A: For any questions or assistance regarding Form DHS-3872-ENG, you can contact the Minnesota Health Care Programs (MHCP) directly.
Form Details:
Download a fillable version of Form DHS-3872-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.