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Medical Assistance (MA) / Minnesota Department of …

    https://mn.gov/dhs/people-we-serve/adults/health-care/health-care-programs/programs-and-services/medical-assistance.jsp
    Medical Assistance (MA) is Minnesota’s Medicaid program for people with low income. Most people who have MA get health care through health plans. You can choose a health …

Medical Assistance (MA) / Minnesota Department of …

    https://mn.gov/dhs/ma/
    Medical Assistance (MA) is Minnesota’s Medicaid program for people with low income. Most people who have MA get health care through health plans. You can choose a health plan …

Forms Directory / MNsure

    https://www.mnsure.org/forms/index.jsp
    DHS-6696: This form is used to apply for Medical Assistance (MA), MinnesotaCare, and affordable private health insurance (qualified health plans) with premium tax credits and …

FORMS/HANDOUTS FOR APPLICANTS

    https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=CM_0005121201
    Combined Application Form (CAF) (DHS-5223) (PDF). Attached to the CAF and the Supplemental Nutrition Assistance Program (SNAP) Application for Seniors …

COMBINED APPLICATION FORM (CAF)

    https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=cm_000509
    0005.10 - minnesota transition application form (mtaf) 0005.12 - accepting and processing applications; 0005.12.03 - what is a complete application; 0005.12.06 - …

Medical Assistance and MinnesotaCare / MNsure

    https://www.mnsure.org/financial-help/ma-mncare/
    When you apply for health coverage with financial help through MNsure, you will find out if you qualify for no-cost or low-cost coverage, either through Medical Assistance or …

MinnesotaCare / Minnesota Department of Human Services

    https://mn.gov/dhs/minnesotacare/
    MinnesotaCare is funded by a state tax on Minnesota hospitals and health care providers, Basic Health Program funding and enrollee premiums and cost sharing. The information …

Health Care Programs and Services

    https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008922
    MinnesotaCare legislation mandates that application and informational materials be made available to provider offices, local human services agencies, and …

1.2.1 MHCP Application Forms

    http://hcopub.dhs.state.mn.us/epm/1_2_1.htm
    Minnesota Family Planning Program Application – MFPP ( DHS-4740) This form is for applicants who are only seeking coverage under the Minnesota Family …



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