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Form DHS-8122-ENG Respite Providers With a 245d or 144a License Providing Services in an Unlicensed Setting - Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota
What Is Form DHS-8122-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-8122-ENG?
A: DHS-8122-ENG is a form for Respite Providers with a 245d or 144a License providing services in an unlicensed setting.
Q: Who can use DHS-8122-ENG?
A: Respite Providers with a 245d or 144a License in Minnesota Health Care Programs (MHCP) can use DHS-8122-ENG.
Q: What is the purpose of DHS-8122-ENG?
A: The purpose of DHS-8122-ENG is to provide an assurance statement for Respite Providers who provide services in an unlicensed setting.
Q: What are 245d and 144a licenses?
A: 245d and 144a licenses are licenses for providers of home and community-based services in Minnesota.
Q: What are Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) are state-funded healthcare programs in Minnesota.
Form Details:
- Released on August 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-8122-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
