Call us to discuss your needs. To evaluate a Medicaid application, we will need AT LEAST the following:
Categorical Eligibility: |
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Citizenship: ¨ Passport ¨ Birth certificate ¨ Naturalization papers ¨ Alien registration ¨ Adoption decree
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Age: ¨ Passport ¨ Birth certificate ¨ Driver’s license ¨ Baptism certificate |
That you are you: ¨ State issues photo ID ¨ School ID ¨ Military ID |
Marital status: ¨ Marriage license ¨ Separation Order ¨ Divorce Order ¨ Spouse death |
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Medical Eligibility: After you are admitted to a nursing home, or if you need home health care, then proof of your medical condition will be necessary. We will need you to sign a release so we can get that information. |
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Financial Eligibility: |
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Resources (Assets with ¨ Checking accounts (3 months of ¨ Savings accounts (3 months of ¨ Money markets (3 months of ¨ CDs ¨ Stocks or Bonds ¨ Annuities ¨ Retirement accounts ¨ Deeds to land and ¨ Titles & ¨ Debts people owe you ¨ Trusts of any kind ¨ Life insurance (all policies) ¨ Burial assets (e.g., ¨ Anything else you |
Monthly Income: ¨ Recent check from ¨ Social Security ¨ Railroad Retirement ¨ Disability Income ¨ Proof of pension or ¨ Rent payments ¨ Support, alimony ¨ VA Award letter ¨ SSI award letter ¨ Debt payments (money
Other things we need: ¨ Current Last Will ¨ Power of ¨ Social Security Card ¨ Medicare card (front ¨ Other health |
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As we work for you, other information may be helpful. Please provide: |
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¨ ID cards for both |
¨ Utility bills |
¨ Property tax bills |
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¨ Mortgage statement or |
¨ Any other insurance |
¨ Evidence of any |
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