Form DHS-6189G-ENG Environmental Accessibility Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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What Is Form DHS-6189G-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form DHS-6189G-ENG?A: The purpose of Form DHS-6189G-ENG is to provide an assurance statement for environmental accessibility providers of Minnesota Health Care Programs (MHCP).

Q: Who needs to complete Form DHS-6189G-ENG?A: Environmental accessibility providers of Minnesota Health Care Programs (MHCP) need to complete Form DHS-6189G-ENG.

Q: What are Minnesota Health Care Programs (MHCP)?A: Minnesota Health Care Programs (MHCP) are programs that provide health care coverage for eligible individuals in Minnesota.

Q: What information is required on Form DHS-6189G-ENG?A: Form DHS-6189G-ENG requires information such as provider name, contact information, environmental accessibility services offered, and compliance with accessibility standards.

Q: Is Form DHS-6189G-ENG mandatory?A: Yes, environmental accessibility providers of MHCP are required to complete Form DHS-6189G-ENG.

Q: When should Form DHS-6189G-ENG be completed?A: Form DHS-6189G-ENG should be completed prior to providing environmental accessibility services to MHCP recipients.

Q: Who should I contact for more information about Form DHS-6189G-ENG?A: For more information about Form DHS-6189G-ENG, you can contact Minnesota Health Care Programs (MHCP) or the Minnesota Department of Human Services (DHS).

Form Details:

Released on August 1, 2021;
The latest edition provided by the Minnesota Department of Human Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a fillable version of Form DHS-6189G-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.