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Get Wisconsin Estate Recovery Program

NS The Estate Recovery Program (ERP) Disclosure form is to be completed for nursing facility Medicaid applicants and Medicaid and COP applicants 55 and over. (This form does NOT need to be completed for Senior Care applicants.) The long-term care worker is to complete the form with information about the applicant, his/her spouse, and any children that are blind, disabled (as determined by DDB), and under age 21. Attach a legible copy of the latest property tax bill or a copy of the property deed.

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