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