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 DHS-7120D-ENG?
A: DHS-7120D-ENG is a provider assurance statement for Early Intensive Developmental and Behavioral Intervention (Eidbi) Level I in Minnesota Health Care Programs (Mhcp).
Q: What is Early Intensive Developmental and Behavioral Intervention (Eidbi)?
A: Early Intensive Developmental and Behavioral Intervention (Eidbi) is a program that provides services to individuals with Autism Spectrum Disorder (ASD) in Minnesota.
Q: What is a Level I Provider Assurance Statement?
A: A Level I Provider Assurance Statement is a document that providers in Minnesota Health Care Programs (Mhcp) must submit to participate in the Early Intensive Developmental and Behavioral Intervention (Eidbi) program.
Q: What are Minnesota Health Care Programs (Mhcp)?
A: Minnesota Health Care Programs (Mhcp) are state-funded programs that provide health coverage to eligible individuals and families in Minnesota.
Q: Who is eligible for Early Intensive Developmental and Behavioral Intervention (Eidbi)?
A: Individuals with Autism Spectrum Disorder (ASD) who meet the eligibility criteria in Minnesota are eligible for Early Intensive Developmental and Behavioral Intervention (Eidbi).
Form Details:
Download a fillable version of Form DHS-7120D-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.