Notice To Adminstrator Of Medicaid Estate Recovery Program {7.0}

FORM 7.0.a - NOTICE TO ADMINISTRATOR OF MEDICAID ESTATE RECOVERY PROGRAM. This form is used to notify the Medicaid Estate Recovery Program (MERP) that the estate of a decedent may be subject to recovery actions. Under Ohio law (R.C. 5162.21), if a person received Medicaid benefits and passes away, the state may seek to recover those benefits from the decedent's estate. The form must be filed with the administrator of the Medicaid Estate Recovery Program, but it is not a public record and is not filed with the probate court. It requires the person responsible for administering the decedent's estate to provide information about the decedent, including their name, address, date of death, and Social Security number, as well as a schedule of the decedent's assets. The form may also include information about assets transferred through joint tenancy, life estates, or trusts. This notice informs the Medicaid Estate Recovery Program of the decedent's estate details, so the program can assess whether it will attempt to recover Medicaid benefits from the estate. www.FormsWorkflow.com