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Form DHS-5857-ENG Tribal Provider Assurance Statement for Assessments for Personal Care Assistance (Pca) or Community First Services and Supports (Cfss) - Minnesota Health Care Programs (Mhcp) - Minnesota
What Is Form DHS-5857-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 DHS-5857-ENG?
A: DHS-5857-ENG is the tribal provider assurance statement for assessments for Personal Care Assistance (PCA) or Community First Services and Supports (CFSS) under Minnesota Health Care Programs (MHCP).
Q: What is PCA?
A: PCA stands for Personal Care Assistance, which is a program that provides services to eligible individuals who need assistance with daily activities due to a disability or health condition.
Q: What is CFSS?
A: CFSS stands for Community First Services and Supports, which is a program that provides support and services to individuals with disabilities or older adults to live independently in the community.
Q: What are Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) refer to the various government-funded healthcare programs in Minnesota, including PCA and CFSS.
Q: What is the purpose of DHS-5857-ENG?
A: The purpose of DHS-5857-ENG is to serve as a tribal provider assurance statement for assessments related to PCA or CFSS services under MHCP in Minnesota.
Q: Who needs to complete DHS-5857-ENG?
A: Tribal providers who are involved in conducting assessments for PCA or CFSS services under MHCP in Minnesota need to complete DHS-5857-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-5857-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
