Form DHS-6125-ENG State Medical Review Team (Smrt) Adult Disability Worksheet - Minnesota

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What Is Form DHS-6125-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 the DHS-6125-ENG?
A: DHS-6125-ENG is a State Medical Review Team (SMRT) Adult Disability Worksheet specific to the state of Minnesota.

Q: What is the purpose of the DHS-6125-ENG?
A: The purpose of the DHS-6125-ENG is to help evaluate the disability status of adults in Minnesota for medical assistance programs.

Q: Who uses the DHS-6125-ENG?
A: The DHS-6125-ENG is used by the State Medical Review Team (SMRT) in Minnesota to review adult disability cases.

Q: What information is included in the DHS-6125-ENG?
A: The DHS-6125-ENG includes information about the individual's medical conditions, functional limitations, and other factors related to their disability status.

Q: Is the DHS-6125-ENG specific to Minnesota?
A: Yes, the DHS-6125-ENG is specific to the state of Minnesota and is used for medical assistance programs within the state.

Form Details:

Released on June 1, 2014;
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 printable version of Form DHS-6125-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.