Care Caregiver Form With Two Points In Minnesota
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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.
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FAQ
The HCAPP (DHS-3417) allows people to apply for any or all of the Minnesota Health Care Programs (MHCP) on one form. Questions on the HCAPP may apply to all health care programs, only to one or two programs, or to specific populations.
MinnesotaCare is for families with income at or below 200% of the Federal Poverty Guidelines (FPG) ($30,120 per year for an individual; $62,400 for a family of four), but above 138% of FPG ($20,783 for an individual; $43,056 for a family of four). MinnesotaCare counts most types of earned and unearned income you have.
They can also call the Minnesota Health Care Programs Member Help Desk at 1-800-657-3739 or 1-651-431-2670 to request an application, or they can download an application here. They can also apply in person at their local county office or tribal human services office.
Once an application is deemed complete MDH has 60 days to issue or deny the temporary license.
It is online at .applymn.dhs.mn. ApplyMN is a "smart application" that only asks questions based on the program(s) requested, the household composition and an applicant's response to previous questions.
If you use traditional PCA you can have more than one agency provide your staffing. If you use PCA Choice you can have only one agency.
How to Qualify. To qualify, you must contact your local county or tribal human services office and ask for an assessment for PCA services. They'll send a person to visit your home, review your health situation, and see how much and what types of help you need.
Minnesota Specific: Kinship Family Support Services, a program of Lutheran Social Service of Minnesota, offers education and support to those who are caring for the child of a sibling, daughter, son, extended family member, family friend or neighbor.
Minnesota law requires all individual personal care assistance (PCA) providers to take the Department of Human Service's (DHS) Individual PCA training and pass a one-time online test. Individual PCAs may take the training and test as often as needed.