Where would you like to send your health care renewal documents today?

The Minnesota Department of Human Services (DHS) collects your private information in this application to check for eligibility with our programs and for reasons listed in the DHS Notice of Privacy Practices.

Additionally, your information may be released to law enforcement, individuals whose work assignment requires access, persons authorized by state or federal law or pursuant to a court order, or by your written consent.

You can refuse to provide this information, but without it, DHS cannot determine your eligibility for our programs, and you will not be able to receive services. Additionally, if you give us wrong information on purpose, you could be investigated and charged with fraud.

The DHS Notice of Privacy Practices contains more details on how DHS uses and discloses your private information.

DHS is required by law to collect your Social Security Number (SSN) to help you get medical assistance, some kinds of financial help, or child support enforcement services. (42 C.F.R. § 435.910, Minn. Stat. § 256L.04, 42 U.S.C. § 666).

DHS also needs your SSN to verify your identity, prevent duplication of state and federal benefits, and conduct computer data matches with other agencies to verify income, resources, or other information that may affect your eligibility or benefits.

More details, including a list of circumstances when you do not need to provide your SSN, are in the DHS Notice of Privacy Practices.

What are your rights regarding the information we have about you? See the DHS Notice of Privacy Practices.

What are our responsibilities? See in the DHS Notice of Privacy Practices.