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Background Study Notice of Privacy Practices

The Minnesota Health Care Programs Application for Payment of Long-Term Care Services (DHS-3531-ENG) is for individuals  who are seeking help with long-term care services in Minnesota. This application is intended for those who are currently residing in or planning to enter a medical facility, or who require services through a home and community-based waiver program.

Key Information:

  • Eligibility: Applicants must meet specific criteria related to income, assets, and medical necessity to qualify for long-term care assistance.

  • Application Process:

    • Complete the Application: Provide detailed information about personal demographics, financial status, medical history, and current care needs.

    • Submit Supporting Documents: Include necessary documentation such as proof of income, asset verification, and medical records.

    • Submission: Send the completed application and supporting documents to your local county or tribal human services office.

  • Assistance: For help with the application process or to understand program requirements, contact your local county or tribal human services office.

Applying for long-term care assistance is a critical step in ensuring access to necessary services and support. It's important to provide accurate and complete information to facilitate the application process.

For more detailed instructions and to access the application form, visit:

🔗 Minnesota Health Care Programs Application for Payment of Long-Term Care Services (DHS-3531-ENG)

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