Form DHS-7120D-ENG Early Intensive Developmental and Behavioral Intervention (Eidbi) Level I Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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What Is Form DHS-7120D-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 DHS-7120D-ENG?A: DHS-7120D-ENG is a provider assurance statement for Early Intensive Developmental and Behavioral Intervention (Eidbi) Level I in Minnesota Health Care Programs (Mhcp).

Q: What is Early Intensive Developmental and Behavioral Intervention (Eidbi)?A: Early Intensive Developmental and Behavioral Intervention (Eidbi) is a program that provides services to individuals with Autism Spectrum Disorder (ASD) in Minnesota.

Q: What is a Level I Provider Assurance Statement?A: A Level I Provider Assurance Statement is a document that providers in Minnesota Health Care Programs (Mhcp) must submit to participate in the Early Intensive Developmental and Behavioral Intervention (Eidbi) program.

Q: What are Minnesota Health Care Programs (Mhcp)?A: Minnesota Health Care Programs (Mhcp) are state-funded programs that provide health coverage to eligible individuals and families in Minnesota.

Q: Who is eligible for Early Intensive Developmental and Behavioral Intervention (Eidbi)?A: Individuals with Autism Spectrum Disorder (ASD) who meet the eligibility criteria in Minnesota are eligible for Early Intensive Developmental and Behavioral Intervention (Eidbi).

Form Details:

Released on January 1, 2022;
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-7120D-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.