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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) ...