Form DHS-7754-ENG Substance Use Disorder (Sud) Provider Assurance Statement - Professionals - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-7754-ENG Substance Use Disorder (Sud) Provider Assurance Statement - Professionals - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-7754-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 the purpose of Form DHS-7754-ENG?
A: The purpose of Form DHS-7754-ENG is to provide assurance by professionals in Minnesota Health Care Programs (MHCP) regarding substance use disorder (SUD) provider services.

Q: Who needs to complete Form DHS-7754-ENG?
A: Professionals who are providing substance use disorder (SUD) services in Minnesota Health Care Programs (MHCP) need to complete Form DHS-7754-ENG.

Q: What does MHCP stand for?
A: MHCP stands for Minnesota Health Care Programs.

Q: What is SUD?
A: SUD stands for Substance Use Disorder.

Q: What is the purpose of the Provider Assurance Statement?
A: The purpose of the Provider Assurance Statement is to ensure that professionals providing substance use disorder (SUD) services in Minnesota Health Care Programs (MHCP) meet certain requirements.

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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-7754-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-7754-ENG Substance Use Disorder (Sud) Provider Assurance Statement - Professionals - Minnesota Health Care Programs (Mhcp) - Minnesota

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