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 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.
Form Details:
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.