Form DHS-6189X-ENG Customized Living Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6189X-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 DHS-6189X-ENG form?
A: The DHS-6189X-ENG form is the Customized Living Provider Assurance Statement for Minnesota Health Care Programs (MHCP) in Minnesota.

Q: What is Customized Living?
A: Customized Living is a program that provides services and supports to individuals who need assistance with activities of daily living in a residential setting.

Q: Who is a Customized Living Provider?
A: A Customized Living Provider is an organization or individual that offers services to individuals enrolled in the Customized Living program.

Q: What is the purpose of the Assurance Statement?
A: The Assurance Statement is used to assure compliance with the requirements and standards set forth by the Minnesota Health Care Programs (MHCP).

Q: What should be included in the Assurance Statement?
A: The Assurance Statement should include information about the provider's qualifications, policies, procedures, and adherence to the MHCP requirements.

Q: Who is required to complete the DHS-6189X-ENG form?
A: Customized Living Providers participating in the Minnesota Health Care Programs (MHCP) are required to complete the DHS-6189X-ENG form.

Q: Are there any fees associated with the Assurance Statement?
A: No, there are no fees associated with completing the Assurance Statement.

Q: Is the Assurance Statement a one-time requirement?
A: No, Customized Living Providers are required to complete and submit the Assurance Statement annually or as requested by the Minnesota Health Care Programs (MHCP).