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Get Dhs-3340-eng (asset Assessment For Medical Assistance For Long-term-care Services (ma-ltc)). Form
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How to use or fill out the DHS-3340-ENG (Asset Assessment For Medical Assistance For Long-Term-Care Services (MA-LTC)) form online
Filling out the DHS-3340-ENG form is essential for married couples who are seeking Medical Assistance for long-term-care services. This guide will provide clear and supportive instructions on how to successfully complete the form online.
Follow the steps to complete your form accurately and efficiently.
- Click ‘Get Form’ button to obtain the form and open it in your online editor.
- Fill in the personal information fields, including first name, last name, date of birth, and social security number, for both you and your spouse.
- Answer the questions regarding the assets owned by you and your spouse. If additional space is required, note the question number and answer on a separate piece of paper.
- Provide information on cash available, savings or checking accounts, postsecondary funds, stocks, bonds, vehicles, and all other assets as specified in the form.
- Attach the necessary proofs that validate the asset values listed. Refer to the 'Required Proofs' section in the form for guidance on acceptable documents.
- Review your completed form for accuracy and ensure all necessary fields are filled out.
- Submit your completed form by mailing or personally delivering it to your county agency.
Start filling out your DHS-3340-ENG form online today to ensure timely processing of your asset assessment.
Related links form
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 some services, usually $1 - $3. MinnesotaCare is a program for Minnesotans with low incomes who do not have access to affordable health care coverage.
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