Form DHS-6189AA-ENG Adult Day Services Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-6189AA-ENG Adult Day Services Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6189AA-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 a DHS-6189AA-ENG form?
A: DHS-6189AA-ENG is a form used for Adult Day Services Provider Assurance Statement by Minnesota Health Care Programs (MHCP) in Minnesota.

Q: What are Adult Day Services?
A: Adult Day Services are programs that provide care and support for adults who need assistance in a safe and structured environment.

Q: What is the purpose of the form?
A: The purpose of the form is for Adult Day Services providers to provide assurance of their compliance with the requirements of Minnesota Health Care Programs (MHCP).

Q: Who needs to complete this form?
A: Adult Day Services providers in Minnesota who participate in the Minnesota Health Care Programs (MHCP) need to complete this form.

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

Download Form DHS-6189AA-ENG Adult Day Services Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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