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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-13039A (07/08) STATE OF WISCONSIN WII Stats. SS. 49.496,46.27, 46.286 ESTATE RECOVERY PROGRAM DISCLOSURE INSTRUCTIONS

How to fill out form 3949 a online

How to fill out Wisconsin estate recovery forms:

1. Begin by gathering all necessary documents and information. This may include the deceased person's death certificate, will or trust documents, financial statements, and any relevant insurance policies.
2. Carefully read through the instructions provided with the forms. Make sure you understand what information is required and how it should be filled out.
3. Complete the necessary personal information sections, such as the deceased person's name, address, and social security number. Provide accurate and up-to-date contact information for yourself as well.
4. If the deceased person had any outstanding medical assistance or long-term care benefits, provide details about these programs and any coverage periods.
5. List all assets owned by the deceased person, including real estate, bank accounts, investments, vehicles, and personal belongings. Provide the estimated value of each asset.
6. Include information about any outstanding debts, such as mortgages, loans, or credit card balances, that the deceased person had at the time of their death.
7. Make sure to accurately report any income the deceased person received after their death, such as pensions, annuities, or rental income.
8. If the deceased person received Medicaid or similar benefits, provide information about the estate recovery claims that may be applicable.
9. Review the completed forms for accuracy and completeness. Make any necessary corrections before submitting them.

Who needs Wisconsin estate recovery forms:

1. Individuals who are responsible for handling the affairs of a deceased person in Wisconsin may need to fill out estate recovery forms.
2. This typically includes family members, executors, administrators, or anyone who has been appointed to oversee the deceased person's estate.
3. It is important to follow the specific instructions and requirements of the Wisconsin estate recovery program, which is designed to recoup certain medical assistance or long-term care benefits provided to the deceased person during their lifetime.

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What is wisconsin estate recovery forms?

Wisconsin estate recovery forms are legal documents used by the state of Wisconsin to recoup Medicaid benefits provided to a deceased individual's estate.

Who is required to file wisconsin estate recovery forms?

The personal representative of the deceased's estate or the executor is required to file Wisconsin estate recovery forms.

How to fill out wisconsin estate recovery forms?

To fill out Wisconsin estate recovery forms, you should gather necessary information about the deceased, including their assets, liabilities, and the Medicaid services received, and then complete the forms with accurate details as instructed.

What is the purpose of wisconsin estate recovery forms?

The purpose of Wisconsin estate recovery forms is to ensure the state can recover the costs of Medicaid services provided to individuals from their estates after they pass away.

What information must be reported on wisconsin estate recovery forms?

The information that must be reported on Wisconsin estate recovery forms includes the deceased's personal information, details of the Medicaid benefits received, and the assets and liabilities of the estate.