Form DHS-6126B-ENG State Medical Review Team (Smrt) Children's Continuing Disability Review Worksheet - Minnesota

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What Is Form DHS-6126B-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 the State Medical Review Team (SMRT) Children's Continuing Disability Review Worksheet in Minnesota?A: The purpose of the worksheet is to conduct a review of the disability status of children in Minnesota.

Q: Who is responsible for completing the State Medical Review Team (SMRT) Children's Continuing Disability Review Worksheet?A: The State Medical Review Team (SMRT) is responsible for completing the worksheet.

Q: What does the State Medical Review Team (SMRT) review in the Children's Continuing Disability Review Worksheet?A: The SMRT reviews the disability status of children in Minnesota.

Q: Is the completion of the State Medical Review Team (SMRT) Children's Continuing Disability Review Worksheet mandatory?A: Yes, completion of the worksheet is mandatory for the SMRT.

Q: What information is included in the State Medical Review Team (SMRT) Children's Continuing Disability Review Worksheet?A: The worksheet includes information about the child's medical condition, treatments, and functional limitations.

Form Details:

Released on July 1, 2014;
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 printable version of Form DHS-6126B-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.