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Anoka County <br />HUMAN SERVICES DIVISION <br />Community Social Services and Behavioral l Ie.ali 11 <br />If you have a Managed Care plan through Medical Assistance (such as Health Partners or UCare), <br />please contact your Health Insurance Provider for coverage information and appointments. <br />If you wish to apply for Rule 25 funding, please complete the attached application and provide all <br />requested verifications. If you are pregnant or using intravenous drugs or need help completing this <br />application, please call (753) 422-7078. <br />Rule 25 is state paid chemical dependency treatment funding. if you are eligible, the State of Minnesota <br />will pay for you to have a Chemical Dependency Evaluation and assessor recommended treatment. Rule <br />25 is non -emergency funds. If you feel that you are experiencing a Mental Health Crisis, contact Canvas <br />Health at (763) 755-3801 or Mercy Hospital Crisis unit at (763) 236-7911. <br />Completed applications and all verifications can be submitted in one of the following ways: <br />Fax to: (763) 422-6987 Attention: Rule 25 <br />Mail or bring to: <br />Anoka County Government Center <br />Rule 25--5th Floor <br />2100 Third Avenue <br />Anoka, MN 55303 <br />Once your complete application and verifications are received, you will be contacted by phone or mail. <br />If you have been determined to be eligible for funding, an appointment for an evaluation will be <br />scheduled for you. You will meet with an Assessor to discuss your alcohol and/or drug use. The <br />Assessor will determine if you need help for alcohol and/or drug use and where you will go to receive <br />treatment. If it has been Longer than two weeks since you mailed in your application and you have not <br />received a response, please call (763) 422-7078. <br />If you have any further questions about this application or the Rule 25 program, please call <br />(763) 422-7078. <br />Meeting People's Needs Through Quality Services <br />Community Social Services & Behavioral Health <br />Guvar r men! Center a 2100 Third Avenue N, STE 500 A Anoka, MN 55303-5049 <br />PHONE: 763-422-7000 A FAX: 763-422-6987 <br />Affirmative Action 1 Equal Opportunity Employer <br />