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... process, providers sign the MHCP Provider Agreement
(DHS-4138) and agree to comply with the data privacy ... process, providers sign the MHCP Provider Agreement
(DHS-4138) and agree to comply with the data privacy ...
Description: Application for 1915(c) HCBS Waiver: Draft MN.016.09.01
Date:
September
28, 2023
... Advice (RA) Request (DHS-4087) Provider Agreement (DHS-4138) ICF/DD Training and Habilitation Agreement (DHS-4224) ... Advice (RA) Request (DHS-4087) Provider Agreement (DHS-4138) ICF/DD Training and Habilitation Agreement (DHS-4224) ...
Description: This page lists all Provider Eligibility and Compliance (PEC) enrollment forms that accept electronic signatures
Date:
August
12, 2025
... Mower Hispanic or Latino (of any race) 1646 4138 2492 151.4% Mower White, non-Hispanic 35884 ... household income, Margin of Error $6135 $3413 $2900 $4138 $4452 $3285 $5351 $3299 $3961 $4636 Sherburne Median ...
Date:
October
22, 2021
... Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF) and the following applicable forms:
Early Intensive ...
Date:
August
12, 2025
... these settings. Legislative Director
Ari Didion
651-431-4138
ariana.c.didion@state.mn.us back to ...
Description: This page has DHS contacts for the Minnesota Legislature.
Date:
January
16, 2025
... 1601 588 36.7% 2020 OLMSTED ADULT 13255 4138 31.2% 2020 OLMSTED CHILD 12263 5073 41. ...
Date:
July
22, 2025
... Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF)
Published January 2024:
•
Family Caregiver Services Provider ...
Description: September 10, 2024 MHCP Provider News
Date:
September
30, 2024
... Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF)
Published January 2024:
•
Family Caregiver Services Provider ...
Description: August 27, 2024 MHCP Provider News
Date:
September
30, 2024
... Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF)
Published January 2024:
•
Family Caregiver Services Provider ...
Description: August 13, 2024 MHCP Provider News
Date:
September
30, 2024
... Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF)
Published January 2024:
•
Family Caregiver Services Provider ...
Description: July 30, 2024 MHCP Provider News
Date:
September
30, 2024