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-4474-ENG form?
A: The DHS-4474-ENG form is the Health Care Case Coordinator - Provider Enrollment Application specifically for Minnesota Health Care Programs (MHCP).
Q: Who uses the DHS-4474-ENG form?
A: Health care providers who want to enroll in Minnesota Health Care Programs (MHCP) use the DHS-4474-ENG form.
Q: What is Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) is a collection of programs that provide health care coverage for eligible residents of Minnesota.
Q: What is the role of a Health Care Case Coordinator?
A: A Health Care Case Coordinator is responsible for coordinating the health care services for patients.
Form Details:
Download a fillable version of Form DHS-4474-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.