Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with MinnesotaCare (Minnesota Department of Human Services) before sending sensitive documents. FaxFlow is not affiliated with this organization.
MinnesotaCare (Minnesota Department of Human Services) fax number
(651) 431-7500
Minnesota Department of Human Services (DHS) – MinnesotaCare program
Used for: Paper MinnesotaCare enrollment application submission; DHS-6696 via fax to 651-431-7500 (application form used for Medical Assistance, MinnesotaCare and private plans through MNsure).
Fax destination details
- Department
- Minnesota Department of Human Services (DHS) – MinnesotaCare program
- Purpose
- Paper MinnesotaCare enrollment application submission; DHS-6696 via fax to 651-431-7500 (application form used for Medical Assistance, MinnesotaCare and private plans through MNsure).
- Form
- DHS-6696 — MNsure Application for Health Coverage and Help Paying Costs (DHS-6696)
- Address
- 444 Lafayette Road N., St. Paul, MN 55155
- Voice phone
- 651-431-2700
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
MHCP paper application DHS-6696; fill out the form and mail or fax it to DHS; instructions are included with the PDF version of the form. Forms are available in multiple languages and via MNsure.
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