Resources
Combined Application Form ( CAF)
MFIP, DWP, SNAP, MSA, GA, GRH:
The Combined Application Form (CAF) (DHS-5223) (PDF) allows people to apply for multiple assistance programs on 1 form. visit Link.
MA Application Steps
Find DHS 3531
Visit DHS Edocs site: https://mn.gov/dhs/general-public/publications-forms-resources/edocs/
Search DHS 3531 MA LTC application.
Complete application.
Fax or drop application to appropriate County.
Waiver Eligibility Types
CADI waiver.
BI waiver.
DD waiver
CAC waiver.
AC-EW waiver.
To determine service eligibility, please contact your county Waiver Assessment department
Waiver assessment request contacts for all MN counties link.