Form DHS-6189T-ENG Specialized Equipment and Supplies Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

Form DHS-6189T-ENG Specialized Equipment and Supplies Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6189T-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-6189T-ENG?
A: DHS-6189T-ENG is a Specialized Equipment and Supplies Provider Assurance Statement for Minnesota Health Care Programs (MHCP).

Q: What is MHCP?
A: MHCP stands for Minnesota Health Care Programs. It is a program that provides health care coverage for eligible individuals in Minnesota.

Q: Who needs to complete the DHS-6189T-ENG?
A: Specialized Equipment and Supplies Providers who participate in the Minnesota Health Care Programs (MHCP) need to complete the DHS-6189T-ENG.

Q: What is the purpose of the DHS-6189T-ENG?
A: The purpose of the DHS-6189T-ENG is to ensure that specialized equipment and supplies providers participating in MHCP comply with program requirements.

Q: How do I submit the DHS-6189T-ENG form?
A: You can submit the DHS-6189T-ENG form to the Minnesota Department of Human Services (DHS) by mail or electronically.

Q: What happens if I don't complete the DHS-6189T-ENG?
A: Failure to complete the DHS-6189T-ENG form may result in non-compliance with MHCP requirements and could impact your participation in the program.

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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-6189T-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6189T-ENG Specialized Equipment and Supplies Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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  • Form DHS-6189T-ENG Specialized Equipment and Supplies Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota, Page 1
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