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 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).
Form Details:
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.