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Medical Assistance (MA) / Minnesota …

    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 …

Printable application forms for health care programs / …

    https://mn.gov/dhs/people-we-serve/adults/health-care/health-care-programs/resources/paper-applications.jsp
    Printable application forms for health care programs. If you want to apply for Minnesota Health Care Programs (MHCP) on paper, it's important to use the correct application …

Common application forms - Minnesota Department of …

    https://mn.gov/dhs/general-public/publications-forms-resources/application-forms/
    Commonly used application forms and application information for human services programs are listed below. All program application forms can be found in eDocs. Many …

1.2.1 MHCP Application Forms - hcopub.dhs.state.mn.us

    http://hcopub.dhs.state.mn.us/epm/1_2_1.htm
    Using the correct application form helps speed up the eligibility determination. When using a paper application form, it is important to choose the most …

Medical Assistance and MinnesotaCare / MNsure

    https://www.mnsure.org/financial-help/ma-mncare/
    Medical Assistance (MA) is Minnesota's Medicaid program for people with low income. MA does not require you to pay a monthly premium. MA members have small co-pays for …

FORMS/HANDOUTS FOR APPLICANTS - dhs.state.mn.us

    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) - dhs.state.mn.us

    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 - …

Seniors applying for Medical Assistance (MA) / …

    https://mn.gov/dhs/people-we-serve/seniors/health-care/health-care-programs/programs-and-services/seniors-apply.jsp
    This information is for people who are 65 years old or older. If you are applying for multiple family members of varying ages, please see the page on how to apply for families for …



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