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... Ownership and Control Interest of an Entity (DHS-5259) Provider Entity Sale or Transfer Addendum (DHS-5550) ... Ownership and Control Interest of an Entity (DHS-5259) Provider Entity Sale or Transfer Addendum (DHS-5550) ...
Description: This page lists all Provider Eligibility and Compliance (PEC) enrollment forms that accept electronic signatures
Date: August 12, 2025
... Ownership and Control Interest of an Entity (DHS- 5259) (PDF) Fitness Test • Fitness tests may be conducted ... when you submit the Disclosure of Ownership (DHS-5259) (PDF) . • Owners are individuals with direct or indirect ...
Description: SFS Provider Screening PowerPoint
Date: August 25, 2025
... County Medicaid Other 165988 144 86045259.73 597536.5259 518.3824116 2021 Clearwater County Medicaid All 43785 ... 12 109.12 2022 Todd County MNCare All 5259 21 1920605.27 91457.39381 365.2035121 2022 ...
Date: July 18, 2025
... the Disclosure of Ownership and Control Interest (DHS-5259) .
Description: The following questions and answers provide further details about the Home and Community-Based Services (HCBS) revalidation process.
Date: February 04, 2026
... Ownership and Control Interest of an Entity (DHS-5259) (PDF) during enrollment. If a QP is an ...
Description: The Minnesota Department of Human Services (DHS) is in the process of transitioning from personal care assistance (PCA) to Community First Services and Supports (CFSS). During this transition time, Steps for Success training covers information from both programs. To learn more about CFSS, visit Community First Services and Supports.
Date: April 21, 2025
... Ownership and Control Interest of an Entity (DHS-5259) . Requirement for Individual EIDBI providers Effective Aug. 5, ...
Date: April 03, 2026
... Ownership and Control Interest of an Entity (DHS-5259) . Requirement for Individual EIDBI providers Effective Aug. 5, ...
Description: January 27, 2026 MHCP Provider News
Date: February 10, 2026
... Ownership and Control Interest of an Entity (DHS-5259) . Requirement for Individual EIDBI providers Effective Aug. 5, ...
Description: February 24, 2026 MHCP Provider News
Date: March 10, 2026
... Ownership and Control Interest of an Entity (DHS-5259) . Requirement for Individual EIDBI providers Effective Aug. 5, ...
Description: February 10, 2026 MHCP Provider News
Date: February 24, 2026
... Ownership and Control Interest of an Entity (DHS-5259) . Requirement for Individual EIDBI providers Effective Aug. 5, ...
Description: March 10, 2026 MHCP Provider News
Date: March 24, 2026