Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-4474-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-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.

ADVERTISEMENT

Form Details:

  • Released on November 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-4474-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota

4.8 of 5 (16 votes)
  • Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota

    1

  • Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota, Page 2

    2

  • Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota, Page 1
  • Form DHS-4474-ENG Health Care Case Coordinator - Provider Enrollment Application - Minnesota Health Care Programs (Mhcp) - Minnesota, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents