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Get Treatment Services Renewal Forms - February 2012
Alternate format call the State of Oregon, Oregon Youth Authority, Budget and Contracts Unit at (503) 373-7371. OREGON YOUTH AUTHORITY Treatment Services RENEWAL APPLICATION SECTION I: Application Process and Instructions SECTION II: Application Forms Revised: 2/12 STATE OF OREGON OREGON YOUTH AUTHORITY (OYA) SECTION I: CONTRACT RENEWAL APPLICATION PROCESS AND INSTRUCTIONS Purpose: This renewal application is restricted to renewing services you are currently contracted to provide. All p.
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Qmhp FAQ
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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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Submit or drop off renewal forms Fax forms to 651-266-3934.
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Contact Us Direct questions about the Minnesota Health Care Programs Eligibility Policy Manual to the DHS Health Care Eligibility and Access (HCEA) Division, P.O. Box 64989, 540 Cedar Street, St. Paul, MN 55164-0989 or fax (651) 431-7423.
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Minnesota Health Care Programs (MHCP) provide health care coverage to eligible families with children, adults, people with disabilities and seniors. MHCP programs are: Medical Assistance (MA) (DHS-4932) (PDF)
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How do I apply for MinnesotaCare? Request an application by calling MinnesotaCare at (651) 297-3862 (Twin Cities Metro) or 1-800-657-3672 (toll-free). For TTY call 711 or 1-800-627-3529. Complete it and mail it in.
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