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... DHS-7176B-ENG (PDF) Sample DHS licensing forms 245D licensed services Sample Policies and Forms for Intensive Supports and Services (PDF) ... DHS-7176B-ENG (PDF) Sample DHS licensing forms 245D licensed services Sample Policies and Forms for Intensive Supports and Services (PDF) ...
Description: Links referenced in the guidebooks and the attestation form to help providers complete the HCBS settings rule attestation process.
Date:
February
19, 2019
HCBS intensive sample forms and policies - 245D providers
245D licensed providers may use these sample policies and forms for intensive support services programs and modify ...
Date:
July
21, 2025
HCBS basic sample forms and policies - 245D providers
Providers may use these DHS sample documents for basic support services programs as templates for their programs ...
Date:
July
21, 2025
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY Page 1 of 2 Last revised: 10/31/ ...
Date:
November
01, 2013
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY Page 1 of 3 10/31/2013
Date:
November
01, 2013
... 4) MN Department of Human Services Licensing Division 245D-HCBS SAMPLE POLICY Page 1 of 2 10/31/2013
Date:
November
01, 2013
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY Page 2 of 3 Last revised: 08/01/ ...
Date:
August
12, 2015
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY Page 1 of 2 07/01/17
Date:
May
09, 2018
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY Page 1 of 2 10/31/2013
Date:
November
01, 2013
... Human Services Office of Inspector General Licensing Division 245D HCBS SAMPLE POLICY 8/1/2022
Date:
September
19, 2022