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Get Mn Dhs-5841-eng 2016

To facilitate communication about home care services between: Case managers for people served on waivers for people with disabilities (CADI, CAC, BI, DD) MCO staff (MSHO, MSC+, SNBC, Families and Children) The form is used by MCO staff or county and tribal agency staff to: Request initial authorization of home care services Request a change in authorization of home care services Inform of home care services changes authorized by MCO Inform of addition of home care services auth.

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