Page 13 - Medicaid 101 - Family First Firm

MEDICAID

CHECKLIST 2. Power of Attorney
1.

Last Will & Testament or Revocable Living Trust

3. Drivers License or Identification

4. Social Security Card

So what exactly will you need to provide 5. Insurance Card(s)

to get an application filed for Medicaid 6. Proof of Medical Insurance Premium

benefits? Well, here's a list of some of the (for secondary insurance coverage)

basics. We understand not all of these 7. Current proof of gross income

will apply to your specific scenario and if (must be directly from income source - not bank statement)

they don't - just skip it. Additionally, at 8. Current proof of life insurance cash value & face value

times the Department of Children and 9. Current proof of prepaid burial or funeral contract

Families will request additional (must be listed as irrevocable)

documents that may not appear in this 10. Bank statements for all accounts for last 3 months

preliminary list. (all pages are needed - even if the page is blank)

VETERANS & SURVIVING SPOUSES OF VETERANS

1. DD214

2. Marriage License

3. Death Certificate
(Must list the cause of death)