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Form DHS-5899-ENG Home Care Shared Services Agreement (Pdn or Pca) - Minnesota
What Is Form DHS-5899-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 Form DHS-5899-ENG?
A: Form DHS-5899-ENG is the Home Care Shared Services Agreement specifically for Personal Care Assistant (PCA) or Personal Direct Support Professional (PDSP) services in Minnesota.
Q: Who is this form for?
A: This form is for individuals who require PCA or PDSP services in Minnesota and their designated provider agency.
Q: What is the purpose of this form?
A: The purpose of this form is to establish and document the agreement between the individual and the designated provider agency for the provision of PCA or PDSP services.
Q: Are there any fees associated with this form?
A: No, there are no fees associated with Form DHS-5899-ENG.
Form Details:
- Released on October 1, 2009;
- 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-5899-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
