Form DHS-4016A-ENG Organization - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota

Preview

Fill PDF Online

PDF

Word

Fill PDF Online

Fill out online for free

without registration or credit card

What Is Form DHS-4016A-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 form DHS-4016A-ENG?
A: Form DHS-4016A-ENG is the Provider Enrollment Application for Minnesota Health Care Programs (MHCP) in Minnesota.

Q: What is MHCP?
A: Minnesota Health Care Programs (MHCP) is a program that provides health care coverage for eligible residents of Minnesota.

Q: Who can use form DHS-4016A-ENG?
A: Providers who want to enroll in Minnesota Health Care Programs (MHCP) can use form DHS-4016A-ENG.

Q: What is the purpose of the Provider Enrollment Application?
A: The purpose of the Provider Enrollment Application is to gather information from providers who want to enroll in Minnesota Health Care Programs (MHCP).

Q: Who is eligible for Minnesota Health Care Programs (MHCP)?
A: Eligibility for Minnesota Health Care Programs (MHCP) is based on factors such as income, residency, and family size. It is available to certain low-income individuals and families in Minnesota.

Q: What is the Minnesota Department of Human Services?
A: The Minnesota Department of Human Services is the state agency in charge of administering the Minnesota Health Care Programs (MHCP) and other social services.

Q: Are there any fees associated with the Provider Enrollment Application?
A: No, there are no fees associated with the Provider Enrollment Application for Minnesota Health Care Programs (MHCP).

Form Details:

Released on December 1, 2022;
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-4016A-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.