Get the free Estate Recovery Program (ERP) Disclosure, F-13039. Estate Recovery Program (ERP) Dis...

STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-13039 (07/08) ERD ESTATE RECOVERY PROGRAM (ERP) DISCLOSURE Providing or applying for a Social Security

How to fill out estate recovery program erp

How to Fill Out Estate Recovery Program ERP:

1. Gather all necessary documentation, such as legal documents, financial records, and proof of assets and income. This will help you accurately complete the estate recovery program ERP form.
2. Carefully review the instructions provided with the form to ensure you understand the requirements and obligations associated with the program.
3. Begin by filling out the personal information section, including your full name, address, contact information, and any other requested details.
4. Provide information about the deceased individual whose estate is subject to recovery. This may include their name, date of birth, social security number, and any other pertinent details.
5. Fill in details about the estate, including a description of the assets and their approximate value. Be thorough and specific in your descriptions to ensure accuracy.
6. If required, provide information about any insurance policies or other benefits that may affect the estate recovery process.
7. Include details about any outstanding debts or liens against the estate that may need to be considered during the recovery process.
8. Carefully read and answer any additional questions or sections that may pertain to your specific situation. Provide any supporting documentation as requested.
9. Review the completed form to ensure all sections have been accurately filled out and all relevant information has been provided.
10. Sign and date the form, complying with any additional requirements regarding witnesses or notarization.
11. Keep a copy of the completed form and any supporting documentation for your records.

Who needs Estate Recovery Program ERP?

The estate recovery program ERP is typically needed by individuals who have received Medicaid benefits during their lifetime. After their passing, their estate may be subject to recovery in order to repay the state or federal government for any healthcare expenses covered by Medicaid. Therefore, individuals who have received Medicaid benefits and have assets that may be subject to recovery may need to utilize the estate recovery program ERP to ensure proper completion of the required documentation and compliance with the recovery process.

For pdfFiller’s FAQs

What is estate recovery program erp?

The Estate Recovery Program (ERP) is a state program that recovers the cost of certain medical services provided to individuals who have passed away.

Who is required to file estate recovery program erp?

The estate of the deceased individual is required to file the Estate Recovery Program (ERP).

How to fill out estate recovery program erp?

To fill out the Estate Recovery Program (ERP), the estate must provide information about the deceased individual's assets and any medical expenses covered by the state.

What is the purpose of estate recovery program erp?

The purpose of the Estate Recovery Program (ERP) is to recover the costs of medical services provided to individuals who have passed away and to ensure that the state is reimbursed for these expenses.

What information must be reported on estate recovery program erp?

The Estate Recovery Program (ERP) must report information about the deceased individual's assets, any medical expenses covered by the state, and any other relevant financial information.

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