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... 1-415-655-0003 Access code: 2497 714 6638 January 16th, 2026, 10:00am – 3:30pm
Location: ... 1-415-655-0003; Access code: 2497 714 6638 Agenda (PDF) February 20th, 2026, 10:00am – 3: ...
Date:
February
03, 2026
... complete the HCBS Programs Service Request Form, DHS-6638 (PDF) , and fax to Provider Enrollment fax line, ... complete the HCBS Programs Service Request Form, DHS-6638 (PDF) , and fax to Provider Enrollment fax line, ...
Description: This page provides information on how to become an eligible service provider for the three new employment services the Department of Human Services is adding to the Minnesota home and community-based services waivers.
Date:
September
15, 2022
... Community-Based Services (HCBS) Programs Service Request (DHS-6638) Designation of Billing Person for Home and Community- ... Community-Based Services (HCBS) Programs Service Request (DHS-6638) Designation of Billing Person for Home and Community- ...
Description: This page lists all Provider Eligibility and Compliance (PEC) enrollment forms that accept electronic signatures
Date:
August
12, 2025
... submit an updated
HCBS Programs Service Request (DHS-6638) (PDF)
(https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6638-ENG)
along with the
Waiver Services Remote Support ...
Date:
December
29, 2023
... submitting a new HCBS Programs Service Request (DHS-6638) to MHCP.
Why does the service I provide ...
Description: The following questions and answers provide further details about the Home and Community-Based Services (HCBS) revalidation process.
Date:
February
04, 2026
... MALIGNANCY
Other_Pediatric
Other_Adult
10.44
1.6638
N/A
1.00
1.00
1.00
...
Description: Calculatorascorrected
Date:
April
27, 2020
... and Community-Based Services Programs Service
Request DHS-6638
AND
•
Moving Home Minnesota Provider Assurance Statement DHS- ...
Description: DHS Housing Transition Services
Date:
December
11, 2025
... Instructions for entering new service agreements and
DHS=6638
reviewing/correcting provider edits. The provider
subsystem is ...
Description: Online Screening Documents and Service Agreements
Date:
January
07, 2019
... 415-655-0003
o
Access code: 2497 714 6638
In-person location:
o
Elmer L. Andersen Building – ...
Date:
February
25, 2025
... 415-655-0003
o
Access code: 2497 714 6638
In-person location:
o
Elmer L. Andersen Building – ...
Date:
May
09, 2025