Form DHS-7120C-ENG Early Intensive Developmental and Behavioral Intervention (Eidbi) Qualified Supervising Professionals (Qsp) Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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What Is Form DHS-7120C-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 DHS-7120C-ENG form?A: The DHS-7120C-ENG form is the Early Intensive Developmental and Behavioral Intervention (Eidbi) Qualified Supervising Professionals (Qsp) Assurance Statement for the 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 specialized services for individuals with autism spectrum disorder and related conditions.

Q: What is a Qualified Supervising Professional (Qsp)?A: A Qualified Supervising Professional (Qsp) is someone who oversees the provision of services for individuals receiving Early Intensive Developmental and Behavioral Intervention (Eidbi).

Q: What is the Minnesota Health Care Programs (Mhcp)?A: The Minnesota Health Care Programs (Mhcp) is a set of public health care programs that provide medical assistance and other related services for eligible residents of Minnesota.

Q: What is the purpose of the Assurance Statement?A: The Assurance Statement is a form that ensures compliance with program requirements and standards for Early Intensive Developmental and Behavioral Intervention (Eidbi) services in Minnesota's Health Care Programs (Mhcp).

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-7120C-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.