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Sample Policies and Forms for Basic Supports and …

Minnesota Department of Human services Licensing Division Sample Policies and Forms for Basic Supports and services 245D licensed providers may link to the Sample Policies and Forms below and modify them for use in their programs. Providers are responsible for ensuring any policy and Forms they use meet the 245D licensing requirements, including the samples provided. Read the applicable statute sections or rule parts to ensure you understand the requirements. Required Policies and procedures Applicable MN statute or rule Date of last revision Required Policies and Procedures These Policies are required at time of application.

Minnesota Department of Human Services Licensing Division Revised 07/01/17 1 . Sample Policies and Forms for Basic Supports and Services. 245D licensed providers may link to the sample policies and forms below and modify them for …

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