Minnesota form application fillable

Description
DHS-5223-ENG Combined Application Form For Food Support Cash Assistance and Health Care Programs Note for Health Care only applicants. Ask the county agency for the Minnesota Health Care Programs Application for Payment of Long-Term Care and Home and Community-Based Waiver Services DHS-3531 and a Long-Term Care Consultation. How to fill out this form Fill out this form in black or dark blue ink. TTY users can call...
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