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Documents Needed To Apply For Medicaid

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When gathering the documentation needed to apply for Medicaid be sure to make copies of all of your documents that are applicable.

Important: Do not give any originals and do not use staples to keep papers together.
Below is an initial list of what you need to apply

Identification: (For Both Applicant & Spouse)

1) Medicare Card & Social Security Card
2) Proof of Citizenship: Birth Certificate, Passport or Baptismal Certificate (within 5 months of birth), Certificate of Naturalization, Visa, or Alien Registration Card
3) Marriage Certificate, Divorce Papers and Death Certificate
4) Military Discharge Papers if applicable
5) Picture ID – Driver’s License or passport even if it has expired
6) Power of Attorney

Health Insurance: Needed Every January (For Both Applicant & Spouse)

1) Medicare Card & Social Security Card
2) Proof of Citizenship: Birth Certificate, Passport or Baptismal Certificate (within 5 months of birth), Certificate of Naturalization, 1) Secondary Health Insurance card – copy of front & back of card
2) Proof of the current premium paid (payment stub or bill). Auto deductions from a bank account are not accepted.
3) Prescription card – copy of front & back of card and proof of premium paid. Auto deductions from a bank account are not accepted.

Residency

1) Deed to Property ownership – current and changed or co-op share certificate(s)
2) Mortgage/Equity LIne Payments and/or Maintenance Payments
3) Copy of rental lease or rental stub
4) Property/school taxes & home owners insurance bills

Income: Needed Every January (For Both Applicant & Spouse In The Year Applying)

1) Social Security Check, Railroad Retirement, SSI, SSD, VA Benefits
2) Copy of current Social Security Award Letter
3) Pension Check and/or stub or letter from the pension company verifying the gross monthly income, any deductions, and net amount received
4) IRA and Annuity distributions – changed to medicaid maximum payout status
5) Any other source of Income including: ALL RENTAL INCOME and loan repayments (promissory note agreements)

Assets: (For Both Applicant & Spouse)

1) All Account/Assets- Checking, Savings, IRA, CD’s, Money Market, Investments, Mutual Funds, Stocks, Bonds etc. All pages of every statement even if it is blank for 3 months for home care OR 60 months for Nursing Home applicants.
2) Gift Accounts- accounts monies were transferred TO showing owner’s name, account number, dates and amount of deposit. Copies of deposit slips are not accepted.
3) Life Insurance- current Face & Cash Value Statement. Letter form insurance company stating number of stock shares owned as well as the current value of stock, if applicable.
4) Federal Income Tax Returns- the current tax return including all 1099’s for Community Home Care. If applying for a nursing home, copies of Tax Returns from the last 5 years, including all 1099 forms. If the applicant has not filed Income Tax Returns we need transcripts from the IRS that the applicant has not filed taxes in the previous 5 years along with all 1099’s from each of those years.
5) Motor vehicle registration, title, insurance policy.

For Additional Assistance In Preparing To Apply
Or For More Information Contact Us Today.