DHS-3531-ENG (Minnesota Health Care Programs Application for Payment of Long-Term Care Services). This application is for people who need coverage for long-term care services including nursing home care and/or waiver services including EW, --2026

1. Click ‘Get Form’ to open the DHS-3531-ENG application in our editor.
2. Begin by filling out your personal information in Section 1, including your name, date of birth, and social security number. Ensure all details are accurate.
3. In Section 2, provide your current address and contact information. If you have a different mailing address, include that as well.
4. Proceed to Section 3 to indicate your citizenship status. If you are not a U.S. citizen, fill in the required immigration details.
5. Complete Sections 4 through 24 by answering all questions regarding your financial situation and medical history. Use additional paper if necessary for longer responses.
6. Review the Notice of Privacy Practices and Rights and Responsibilities at the end of the form before signing it.
7. Attach any required proofs listed on page A and submit your application to your county agency promptly.

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