Form DHS-6189D-ENG Assistive Technology Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-6189D-ENG Assistive Technology Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6189D-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-6189D-ENG Assistive Technology Provider Assurance Statement?
A: The DHS-6189D-ENG Assistive Technology Provider Assurance Statement is a document required by the Minnesota Health Care Programs (MHCP) for assistive technology providers.

Q: What is the purpose of the Assurance Statement?
A: The purpose of the Assurance Statement is for assistive technology providers to affirm their compliance with certain standards and requirements set by MHCP.

Q: Who is required to submit the Assurance Statement?
A: All assistive technology providers participating in the MHCP are required to submit the Assurance Statement.

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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-6189D-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6189D-ENG Assistive Technology Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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