Housing Stabilization Services (HSS) Referral Form Date:: Fill out & sign online

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Click ‘Get Form’ to open the Housing Stabilization Services (HSS) Referral Form in the editor.
Begin by filling in the 'Referring County Staff' and 'Date' fields at the top of the form. Ensure accuracy as this information is crucial for processing.
Next, complete the 'Referring County', 'Phone', and 'Fax' sections. Include your NPI# for identification purposes.
In the 'Start Date' and 'End Date' fields, specify the relevant dates for service provision.
Fill out the personal details of the individual being referred, including their name, date of birth, sex, address, social security number, and contact information.
Indicate where the individual currently lives if different from their provided address. This helps in understanding their current situation.
Select applicable waiver types by checking 'Yes' or 'No' for each option listed under WAIVER TYPE.
Provide diagnosis codes related to housing stabilization services and any pertinent medical concerns in the designated sections.
Finally, review all entries for accuracy before saving or submitting your completed form through our platform.

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2003	4.8 Satisfied (142 Votes)

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What is the Minnesota housing support program?

Housing Support is a state funded income supplement program that pays for room and board for low-income adults with disabilities. There is also a service rate for eligible households in certain settings.

What are MN housing stabilization services?

Housing Stabilization Services is a Minnesota Medical Assistance benefit to help seniors and people with disabilities, including mental illness and substance use disorder, find and keep housing. Sign up for Housing Stabilization Services updates.

What is the housing community stabilization program in Minnesota?

The Community Stabilization Program was established pursuant to Minnesota Laws 2023, chapter 37, article 1, section 2, subdivision 29 and Minnesota Laws 2023, chapter 37, article 2, section 6 as a one-time program to preserve Naturally Occurring Affordable Housing.

What is the housing rehabilitation loan program in Minnesota?

MHFA Rehabilitation Program The Minnesota Housing Finance Agencys (MHFA) Rehabilitation Loan program assists low to moderate-income homeowners in financing home improvements that directly affect the safety, habitability, energy efficiency, and accessibility of their homes.

What is the housing Stabilisation Services Program in Minnesota?

Housing Stabilization Services is a new Minnesota Medical Assistance benefit to help people with disabilities, including mental illness and substance use disorder, and seniors find and keep housing.