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DHS-5223-ENG Combined Application Form For Food Support, Cash Assistance and Health Care Programs Note for Health Care only applicants. Do not use this application if you are: â– â–  â– â–  Applying for health care coverage only. Ask the county agency for the Minnesota Health Care Programs Application (DHS-3417). A person with a disability or age 65 or older who may need to move to a nursing home or would like services to stay in your home. Ask the county agency for the Minnesota Health Care Programs More


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