Form DHS-6855-ENG Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-6855-ENG Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6855-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-6855-ENG?
A: Form DHS-6855-ENG is the Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care - Minnesota Health Care Programs (Mhcp) - Minnesota.

Q: What is the purpose of Form DHS-6855-ENG?
A: The purpose of Form DHS-6855-ENG is to designate a billing person for Home and Community-Based Services Waiver or Alternative Care in Minnesota.

Q: Who needs to fill out Form DHS-6855-ENG?
A: Anyone who wants to designate a billing person for Home and Community-Based Services Waiver or Alternative Care in Minnesota needs to fill out Form DHS-6855-ENG.

Q: Are there any fees associated with Form DHS-6855-ENG?
A: No, there are no fees associated with Form DHS-6855-ENG.

Q: Is Form DHS-6855-ENG specific to Minnesota?
A: Yes, Form DHS-6855-ENG is specific to Minnesota Health Care Programs (Mhcp).

ADVERTISEMENT

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-6855-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6855-ENG Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care - Minnesota Health Care Programs (Mhcp) - Minnesota

4.4 of 5 (41 votes)
  • Form DHS-6855-ENG Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care - Minnesota Health Care Programs (Mhcp) - Minnesota, Page 1
ADVERTISEMENT

Related Documents