This version of the form is not currently in use and is provided for reference only. Download this version of Form DHS-3535-ENG for the current year.

Form DHS-3535-ENG Mhcp Individual Provider Profile Change - 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-3535-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 DHS-3535-ENG?
A: DHS-3535-ENG is a form for making changes to an individual provider profile in the Minnesota Health Care Programs (MHCP).

Q: What is MHCP?
A: MHCP stands for Minnesota Health Care Programs, which is a public health care coverage program in Minnesota.

Q: What is the purpose of form DHS-3535-ENG?
A: The purpose of form DHS-3535-ENG is to submit changes to an individual provider profile in MHCP.

Q: Who can use form DHS-3535-ENG?
A: Individual providers who are enrolled in MHCP can use form DHS-3535-ENG to make changes to their profile.

Q: Are there any fees associated with form DHS-3535-ENG?
A: No, there are no fees associated with submitting form DHS-3535-ENG.

Q: What kind of changes can I make using form DHS-3535-ENG?
A: You can make changes to your contact information, billing information, service location, and more using form DHS-3535-ENG.

Q: How long does it take to process form DHS-3535-ENG?
A: The processing time for form DHS-3535-ENG varies, but you should receive a response within a reasonable timeframe.

Q: What should I do if I have questions about form DHS-3535-ENG?
A: If you have questions about form DHS-3535-ENG, you can contact the MHCP Provider Enrollment Helpline for assistance.

Form Details:

Released on January 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-3535-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.