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Form DHS-6189J-ENG Home Delivered Meals Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota
What Is Form DHS-6189J-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-6189J-ENG?
A: Form DHS-6189J-ENG is the Home Delivered Meals Provider Assurance Statement for Minnesota Health Care Programs.
Q: What does this form pertain to?
A: This form pertains to the assurance statement for home delivered meals providers under the Minnesota Health Care Programs (MHCP).
Q: What is the purpose of this form?
A: The purpose of this form is to ensure that home delivered meals providers participating in the MHCP meet program requirements.
Q: Who needs to fill out this form?
A: Home delivered meals providers participating in the MHCP need to fill out this form.
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-6189J-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
