Staff training materials Hennepin County training resources MFIP ES trainings for new workers – June 2021 (PDF, 1MB) MFIP employment counselor 30-day training checklist (DOC, 1MB) Motivational interviewing A taste of MI (DOCX, 1MB) Comparing practitioner styles (DOCX, 1MB) Exercise responding to discord (DOCX, 1MB) Four processes in MI (DOCX, 1MB) The TRAPS (DOCX, 1MB) Motivational interviewing practical skills (PPTX, 11MB) Domestic violence Resource list (DOCX, 1MB)
Referral-based services Education program for Somalis enrolled in MFIP The Somali Success School (1545 E Lake Street, Minneapolis) is designed to increase the literacy, math, living skills and wage potential of local Somalis enrolled in MFIP. For more information or to refer, call Bobette Beckford or Abdinur Ali at (612) 338-3153. Somali Success School flyer (PDF, 1MB) Employment Refugee Employment Services Refugee Employment Services helps refugees locate job openings, identify child care, fill out job applications, and use public transportation. Eligible refugees are those who’ve arrived in the U.S. within the last five years. Visit DHS refugee programs. Tree Trust youth work program The Tree Trust TANF Supported Work program allows people between 14 and 24 to gain paid work experience while working outdoors on community improvement projects or indoors at local businesses, schools, and nonprofits. Online referral form Interpreter and translator assistance Interpreter vendor list (DOCX, 1MB) Office of Multicultural Services (Hennepin County) Parenting Parenting for the Future offers parenting skills and social and community supports for parents with cognitive challenges and at least one child under age five. Parenting for the Future - flyer (PDF, 1MB) Parenting for the Future - referral form (DOCX, 1MB) Social Security and disability Change HealthCare (formerly Chamberlin Edmonds) provides advocacy for clients who apply for federal SSI. Change HealthCare flyer (DOCX, 1MB) Change HealthCare referral (DOC, 1MB)
Policies and procedures State DHS Employment Services Manual DHS manuals homepage Minnesota Department of Human Services – policy manuals MFIP employment services training and provider resources information – CountyLink Fraud – online reporting form Fraud – general public reporting process County Hennepin Employment Services Manual – March 2022 (DOC, 1MB) Hennepin MFIP support services policy – June 2023 (PDF, 1MB) MFIP incentives HC policy – March 2021 (PDF, 1MB) Limited English proficiency plan – 2020 (DOC, 1MB) Post 60-month guide (DOC, 1MB) FSS overview of HSR and ESP responsibilities (DOC, 1MB) FSS end dates (DOC, 1MB) FSS eligibility criteria (DOCX, 1MB)
Forms For DHS forms, go to the Department of Human Service (DHS) eDOCs website and search the form by entering the form number. Visit eDocs. Overview requirements MFIP overview topic checklist – January 2023 (PDF, 1MB) Notice of requirement to attend MFIP Overview (DHS-2929) eDocs Employment services responsibilities, rights and content (DHS-3172) eDocs Education and training in MFIP (DHS-3366) eDocs Do you have a disability? ADA (DHS-4133) eDocs Domestic violence information (DHS-3477) eDocs Do you need help paying for child care? (DHS-3551) eDocs Assessment Request for medical exam and exchange of information general, ECF D431 Request for medical exam and exchange of information – needed in the home severe emotional disturbance (SED)/serious and persistent mental illness (SPMI) Family violence referral form Brief screening tool for special learning needs, DHS-3504. eDocs Participant medical referral and medical care provider information letter, DHS-3996. eDocs Job counselor observation checklist DWP/MFIP observation checklist, DHS-3483. eDocs Special learning needs scoring form MFIP, DHS-3504A. eDocs Self-screen mental health/chemical dependency, DHS-3482. eDocs Self-screen scoring form, DHS-3482A. eDocs MFIP employment services authorization for release of information, DHS-4093. eDocs Case management Frequently used eligibility documents MFIP transition services information (PDF, 1MB) Child under 12-months exemption request form MFIP opting in/out form or request stand alone SNAP Fraud prevention investigation referral (DOC, 1MB) Fraud referral form (DOCX, 1MB) Incident report (PDF, 1MB) State agency appeals summary, DHS-0035. eDocs DHS status update form, DHS-3165 eDocs Education Adult education attendance (ABE/GED/ESL) (PDF, 1MB) Occupational research packet (DOC, 1MB) 18-19-year-old education/employment choice sheet (DOC, 1MB) MFIP education activity log, DHS- 4209N. eDocs Request for verification of school attendance/progress, DHS-2883. eDocs Education and training in MFIP, DHS-3366. eDocs Graduate to independence – MFIP teen parent informational brochure, DHS-2887. eDocs Notice of requirement to attend school for parents under age 20, DHS-2961. eDocs MFIP for minor caregivers, DHS-3238. eDocs School verification form ESP program monitoring Full case file review template – 2022 (DOCX, 1MB) Staff detail and agency policies – 2022 (DOCX, 1MB) Interpreters and limited English proficiency Limited English proficiency bill of rights (DOC, 1MB) LEP Notice: language block, DHS-5079. eDocs MFIP 48-60 month transition period 54th month transition meeting form (DOCX, 1MB) Sanctions MFIP notice of intent to sanction FSS pre-sanction checklist Good cause list (DOCX, 1MB) Self-employment DWP/MFIP self-employment business plan, DHS-6200. eDocs Self-employment report form, DHS-3336. eDocs Self-employment business plan decision notice – April 21 (DOCX, 1MB) Self-employment local policy update – April 21 (PDF, 1MB) Self-employment progress review – April 21 (DOCX, 1MB) Small business resources (PDF, 1MB) Unpaid work experience Unpaid work - employer verification form (DOCX, 1MB) Claim form, DHS-998. eDocs First report of injury, DHS-3995. eDocs Participant injury status report, DHS-3997. eDocs (IPP) Participant information and authorization to release information, DHS-3994. eDocs
Child care forms and procedures Minnesota Family Investment Program and Diversionary Work Program child care forms are listed below. County ESP checklist for child care application Child care plan online (fillable form) HSPHD notice of privacy practices form (DOCX, 1MB) Information disclosure, non-epic HSPHD clients Language block (DOC, 1MB) Notice and release (fillable form) Employment verification form (fillable form) MFIP exemption – caring for a child under the age of 12 months Shelter verification form (fillable form) State Go to the Department of Human Services' (DHS) e-Docs site and search for the form by entering the DHS form number. Authorization for release of information about residence and shelter expenses, DHS 2952. eDocs Change report form, DHS 4794. eDocs Child care addendum, DHS 5223D. eDocs Child care assistance re-determination, DHS 5274. eDocs Child care assistance bi-weekly sliding fee schedule, DHS-6413 eDocs Child care center employer responsibilities DHS-3914A eDocs Child care center employee rights and responsibilities DHS-3941B eDocs Client statement of good cause, DHS 2338. eDocs Do you need help paying for child care?, DHS 3551. eDocs Minnesota Child Care Assistance Program application, DHS 3550. eDocs Parent acknowledgement when choosing a legal unlicensed provider, DHS 5367. eDocs Parent request for in-home child care, DHS 6475. eDocs Referral to support and collections, DHS 3163B. eDocs Reporting responsibilities for CCAP families, DHS-6953. eDocs Resources and reference MEC2 screens – quick reference guide for employment service providers (ESPs) (DOCX, 1MB) Think Small child care resources flyer (DOCX, 1MB) School hours (DOCX, 1MB) DHS child care assistance rules, regulations and manual DHS child care co-payment schedules and median income guidelines, DHS 6413c. eDocs Additional information Employer identification numbers (XLS, 9MB) Minnesota non-profit employer identification numbers (PDF, 2MB) Electronic data gathering, analysis and retrieval (EDGAR) system
System access Accessing computer systems for MFIP providers ESP system access guide (PDF, 1MB) ESP system access request form – March 2021 (PDF, 1MB) DHS annual training instructions (PDF, 1MB) Online training: DHS data privacy ECF access through Citrix (PDF, 1MB) Online training: ECF next for ESPs – 2023 ECF next terminology (DOCX, 1MB) Password resets The Hennepin County Enterprise service desk handles all password reset requests for Citrix, ECF/SMI, MEC2, and MAXIS. Users can reset their own Workforce One password from the site’s homepage. Contact Hennepin County IT Enterprise Service Desk by phone at 612-348-6662 and be prepared to provide the following information: Your Hennepin County logon ID (usually the first two letters of your first and last name plus a three-digit number, for example AABB001) Your contact information (name, work phone, work email) That you use Hennepin County systems as an external service provider The name of the ESP Agency where you work Name of system for which you need the password reset (Citrix, ECF/SMI, MEC2, and/or MAXIS)