Form DHS-6189K-ENG Homemaker Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-6189K-ENG Homemaker Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6189K-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-6189K-ENG?
A: DHS-6189K-ENG is the Homemaker Provider Assurance Statement form used for the Minnesota Health Care Programs (MHCP).

Q: What is the purpose of the Homemaker Provider Assurance Statement?
A: The purpose of the Homemaker Provider Assurance Statement is to ensure that the provider understands and agrees to comply with the rules and requirements of the Minnesota Health Care Programs.

Q: Who needs to fill out the Homemaker Provider Assurance Statement?
A: Homemaker providers participating in the Minnesota Health Care Programs need to fill out the Homemaker Provider Assurance Statement.

Q: Do I need to submit the Homemaker Provider Assurance Statement with my application?
A: Yes, the Homemaker Provider Assurance Statement needs to be submitted with the provider's application to participate in the Minnesota Health Care Programs.

Q: What happens if I don't fill out the Homemaker Provider Assurance Statement?
A: If the Homemaker Provider Assurance Statement is not filled out, the provider will not be able to participate in the Minnesota Health Care Programs.

Q: Are there any penalties for not complying with the Homemaker Provider Assurance Statement?
A: Yes, failure to comply with the Homemaker Provider Assurance Statement may result in penalties and possible termination from the Minnesota Health Care Programs.

Q: Can I make changes to the Homemaker Provider Assurance Statement after submitting it?
A: No, once the Homemaker Provider Assurance Statement is submitted, changes cannot be made. If any changes occur, the provider must notify the Minnesota Health Care Programs.

Q: Is the Homemaker Provider Assurance Statement only applicable to Minnesota Health Care Programs?
A: Yes, the Homemaker Provider Assurance Statement is specifically for providers participating in the Minnesota Health Care Programs.

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

Download Form DHS-6189K-ENG Homemaker Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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