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Is no longer affiliated or employed with your agency, and for each QP at the time of your annual review and revalidation. By signing below you certify that this QP meets the definition of a QP. Qualified Professional: Complete this form as your acknowledgement of responsibilities and obligations of a QP for the PCA program. NAME OF PCA AGENCY (PRINT OR TYPE BUSINESS NAME) PCA AGENCY NPI/UMPI ADDRESS CITY STATE AGENCY REPRESENTATIVE NAME AGENCY REPRESENTATIVE SIGNATURE ZIP CODE DATE By s.

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An important message from our Medicaid Medical Director Dr. Nathan Chomilo. And when it's time for you to renew your coverage, you can get free help with the paperwork. Visit mn.gov/dhs/renewmycov….

Dr. Brooke Cunningham was appointed in January 2023 as commissioner for the Minnesota Department of Health. Dr. Cunningham is responsible for directing the work of the Minnesota Department of Health.

Nathan Tseboh Chomilo, MD, FAAP, FACP.

Minnesota's public health system is known as one of the best in the nation. It is built upon a strong partnership between the Minnesota Department of Health (MDH), local public health agencies, tribal governments and a range of other organizations.

Rebecca Lucero, Commissioner of Human Rights, State of MInnesota.

The county public health nurse is responsible to do the PCA assessment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232