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 the DHS-7120C-ENG form?
A: The DHS-7120C-ENG form is the Early Intensive Developmental and Behavioral Intervention (Eidbi) Qualified Supervising Professionals (Qsp) Assurance Statement for the 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 specialized services for individuals with autism spectrum disorder and related conditions.
Q: What is a Qualified Supervising Professional (Qsp)?
A: A Qualified Supervising Professional (Qsp) is someone who oversees the provision of services for individuals receiving Early Intensive Developmental and Behavioral Intervention (Eidbi).
Q: What is the Minnesota Health Care Programs (Mhcp)?
A: The Minnesota Health Care Programs (Mhcp) is a set of public health care programs that provide medical assistance and other related services for eligible residents of Minnesota.
Q: What is the purpose of the Assurance Statement?
A: The Assurance Statement is a form that ensures compliance with program requirements and standards for Early Intensive Developmental and Behavioral Intervention (Eidbi) services in Minnesota's Health Care Programs (Mhcp).
Form Details:
Download a fillable version of Form DHS-7120C-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.