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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Your member benefits include behavioral and mental health care. We have an open network, which means you can visit any behavioral or mental health provider. This includes therapy and medications. To find a behavioral or mental health provider refer to the Hennepin Health provider directory.
Minnesota Health Care Programs (MHCP) provide health care coverage to eligible families with children, adults, people with disabilities and seniors.
Any Minnesota resident who is a U.S. citizen, U.S. resident, or lawfully present can enroll. There are no age restrictions for applicants. Adults who are not applying for themselves may still apply on behalf of their child. Families that include immigrants can apply.
Minnesota Health Care Programs (MHCP) provide health care coverage to eligible families with children, adults, people with disabilities and seniors.
The Department of Human Services issues a Minnesota Health Care Programs (MHCP) membership card to each eligible enrollee. MHCP membership cards for new enrollees (as well as replacement cards) are generated each week by MMIS.
Health-care coverage includes: Medical care – doctor visits, hospital services and stays, emergency care. Dental care – regular and deep cleanings, check-ups and fillings. Preventative care – vaccinations, screenings and flu shots. Prescription drugs.
The Minnesota Families and Children programs currently still include the Prepaid Medical Assistance Program (PMAP) and MinnesotaCare. PMAP is a mandatory managed care program for Medicaid-eligible adults, families and children in Minnesota, operating under 1932(a) authority.
Most people can apply online at MNsure or call 1-855-366-7873. People 65+ and people with a disability: Download and complete an application and submit to Hennepin County.
RECERTIFICATION PROCESS ●Combined Six-Month Report (DHS-5576) (PDF). ● Combined Annual Renewal for Certain Populations (DHS-3727) (PDF). ● Household Update Form (DHS-8107) ● Other notices or forms required at recertification ing to each program's provisions below.1 more row •
Eligibility Household sizeHousehold income 1 $2,510 2 $3,407 3 $4,303 4 $5,2006 more rows