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... Individual Personal Care Assistant (PCA) Enrollment Application (DHS-4469) Individual Direct Support Worker Enrollment Application (Consumer Directed ... Individual Personal Care Assistant (PCA) Enrollment Application (DHS-4469) Individual Direct Support Worker Enrollment Application (Consumer Directed ...
Description: This page lists all Provider Eligibility and Compliance (PEC) enrollment forms that accept electronic signatures
Date: August 12, 2025
... LTCC screening document for MSHO and MSC+ (DHS-4469) (PDF) Health plan contacts for care coordinator information ( ...
Description: The Minnesota Senior Health Options (MSHO) combines separate health programs and support systems into one health care package. It is a voluntary program for people ages 65 or older who are eligible for Medical Assistance (MA) and enrolled in Medicare Parts A and B.
Date: January 06, 2025
Side-by-Side Legislative Changes 2024: 245F Side-by-Side Legislative Changes 2024: 245F Includes: Changes to substance use disorder (SUD) treatment services ...
Date: July 05, 2024
Family Child Care Licensing: Implementation plan for 2023 legislative changes Family Child Care Licensing: Implementation plan for 2023 legislative changes ...
Date: December 06, 2023
Person Centered Planning and Service Delivery Requirements Person Centered Planning and Service Delivery Requirements Every home and community-based services ...
Date: April 15, 2025
... County Medicaid Other 5750 13 3252436.81 250187.4469 565.6411843 2022 Wilkin County Medicaid All 18407 ...
Date: July 18, 2025
... Personal Care Assistant (PCA) Provider Enrollment Application (DHS-4469) (PDF) • Individual PCA Provider Agreement (DHS-4611) (PDF) ...

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