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-5550-ENG?
A: Form DHS-5550-ENG is the Provider Entity Sale or Transfer Addendum for Minnesota Health Care Programs (MHCP).
Q: What is Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) is a healthcare program in Minnesota.
Q: What is the purpose of the Provider Entity Sale or Transfer Addendum?
A: The purpose of the Provider Entity Sale or Transfer Addendum is to inform Minnesota Health Care Programs (MHCP) about the sale or transfer of a healthcare provider entity.
Q: Who needs to complete Form DHS-5550-ENG?
A: Healthcare provider entities in Minnesota that are being sold or transferred need to complete Form DHS-5550-ENG.
Q: Is Form DHS-5550-ENG specific to Minnesota?
A: Yes, Form DHS-5550-ENG is specific to healthcare provider entities in Minnesota.
Q: What information is required on Form DHS-5550-ENG?
A: Form DHS-5550-ENG requires information about the healthcare provider entity being sold or transferred, including details about the buyer or transferee.
Q: Is there a fee for submitting Form DHS-5550-ENG?
A: No, there is no fee for submitting Form DHS-5550-ENG.
Q: What is the deadline for submitting Form DHS-5550-ENG?
A: The deadline for submitting Form DHS-5550-ENG is 10 business days before the effective date of the sale or transfer.
Q: Who can I contact for more information about Form DHS-5550-ENG?
A: For more information about Form DHS-5550-ENG, you can contact the Minnesota Health Care Programs (MHCP) or the Minnesota Department of Human Services (DHS).
Form Details:
Download a fillable version of Form DHS-5550-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.