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Dakota County Public Assistance (Employment & Economic Assistance), Northern Service Center fax number

(651) 554-5748

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Public Assistance / Employment & Economic Assistance (EEA), Dakota County, Minnesota

Used for: Submitting applications and related documents for Dakota County public assistance programs (e.g., MHCP MA-LTC via DHS-3531; AVS authorization DHS-7823) by fax to the Northern Service Center.

Fax destination details

Department
Public Assistance / Employment & Economic Assistance (EEA), Dakota County, Minnesota
Purpose
Submitting applications and related documents for Dakota County public assistance programs (e.g., MHCP MA-LTC via DHS-3531; AVS authorization DHS-7823) by fax to the Northern Service Center.
Form
DHS-3531 (MHCP Application for Payment of Long-Term Care Services) — Minnesota Health Care Programs Application for Payment of Long-Term Care Services (DHS-3531)
Address
Northern Service Center, 1 Mendota Road W., Suite 100, West St. Paul, MN 55118
Voice phone
651-554-5611

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Follow MHCP/DHS instructions for completing DHS-3531 and, if applicable, DHS-7823; submit with required verification to Dakota County via fax.

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