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ASSET TRANSFER UNDUE HARDSHIP CLAIM FORM Return To Agency Address Case Name Case Worker Name Worker Telephone The opportunity to claim an Undue Hardship must be offered when the imposition of a penalty period for the uncompensated transfer of assets affects Medicaid payment for long-term care services including nursing facility PACE hospice or community-based care CBC. An undue hardship may be granted when documentation is provided that shows the assets transferred cannot be recovered and the...

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What is asset transfer undue hardship?

Asset transfer undue hardship refers to the situation where an individual experiences significant financial difficulties due to the transfer or disposal of assets.

Who is required to file asset transfer undue hardship?

Individuals who have transferred or disposed of assets and are facing financial hardships as a result may be required to file asset transfer undue hardship.

How to fill out asset transfer undue hardship?

To fill out asset transfer undue hardship, individuals may need to provide information about the assets transferred or disposed of, the reasons for the transfer, and their current financial situation.

What is the purpose of asset transfer undue hardship?

The purpose of asset transfer undue hardship is to assess the financial difficulties faced by individuals as a result of transferring or disposing of assets and determine if relief or assistance can be provided.

What information must be reported on asset transfer undue hardship?

The information that must be reported on asset transfer undue hardship may include details of the assets transferred or disposed of, reasons for the transfer, financial statements, and supporting documentation.

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