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 card ¨ 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 certificate |
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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 statements & checks for all accounts) ¨ Savings accounts (3 months of statements for all acounts) ¨ Money markets (3 months of statements for all accounts) ¨ CDs ¨ Stocks or Bonds ¨ Annuities ¨ Retirement accounts (e.g., 401(k) or IRA) ¨ Deeds to land and buildings ¨ Titles & registration to vehicles or mobile homes ¨ Debts people owe you ¨ Trusts of any kind that involve you ¨ Life insurance (all policies) ¨ Burial assets (e.g., contracts, accounts, plots) ¨ Anything else you believe has value. The Medicaid rule is that if it’s not exempt, then it |
Monthly Income: ¨ Recent check from employment ¨ Social Security letter (you get one each year) ¨ Railroad Retirement ¨ Disability Income ¨ Proof of pension or retirement income ¨ Rent payments ¨ Support, alimony ¨ VA Award letter ¨ SSI award letter ¨ Debt payments (money people owe you)
Other things we need: ¨ Current Last Will & Testament ¨ Power of Attorney/Guardianship papers ¨ Social Security Card ¨ Medicare card (front and back) ¨ Other health insurance card & premium amount |
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As we work for you, other information may be helpful. Please provide: |
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¨ ID cards for both spouses |
¨ Utility bills |
¨ Property tax bills |
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¨ Mortgage statement or rent bill |
¨ Any other insurance |
¨ Evidence of any medical debt |
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