Form DHS-4773-ENG Notification of Certified Provider Locations - Minnesota Health Care Programs (Mhcp) - Minnesota

Preview

Fill PDF Online

PDF

Word

Fill PDF Online

Fill out online for free

without registration or credit card

What Is Form DHS-4773-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-4773-ENG?
A: Form DHS-4773-ENG is the Notification of Certified Provider Locations for Minnesota Health Care Programs (MHCP) in Minnesota

Q: What are Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) are the state's Medicaid programs, which provide healthcare coverage to eligible individuals in Minnesota

Q: What is the purpose of Form DHS-4773-ENG?
A: The purpose of Form DHS-4773-ENG is to notify certified provider locations for Minnesota Health Care Programs (MHCP) in Minnesota

Q: Who is required to submit Form DHS-4773-ENG?
A: Certified provider locations for Minnesota Health Care Programs (MHCP) in Minnesota are required to submit Form DHS-4773-ENG

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-4773-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.