Program Payment

	Enter your information and select the Continue button. Select the Cancel button to return to the main DHS payments page.

Program:

** Select ** AC (Alternative Care) MA-EPD (Medical Assistance for Employed Persons with Disabilities) MSHO (Minnesota Senior Health Options) SNBC (Special Needs BasicCare)

Customer Number:

First 4 characters of last name on invoice:

Amount to pay:

	Payments made here can be 1-time or recurring. Payments may be made by credit card (VISA and MasterCard only) or by check.