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  • Authorization And Merp* Certification - Epcounty.com

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AUTHORIZATION AND MERP* CERTIFICATION *Texas Medicaid Estate Recovery Program TO: Texas Medicaid Recovery Program (MERP) c/o Health Management Systems Attention: Mr. Jason W. Malmberg, Attorney 5615.

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How to fill out the AUTHORIZATION AND MERP* CERTIFICATION - Epcounty.com online

Filling out the Authorization and MERP Certification form is an essential step for estate representatives and heirs. This guide provides clear and detailed instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the name of the estate for which you are filing the certification in the section labeled 'FROM'. Include your title as the attorney for the estate next to the name. Ensure that your contact information, including phone and fax number, is also filled out accurately.
  3. In the 'RE' section, write the name of the deceased individual whose estate you are representing. Include the cause number related to the case and the social security number of the deceased. This information is crucial for identification purposes.
  4. In Section 1, provide authorization information by confirming that you represent the estate. Ensure to sign and date this section, making it clear that you are assisting in the probate process.
  5. Move to Section 2, which needs to be completed by the MERP. If there is no claim, check the first box and leave the second and third unchecked. If there is a claim, check the appropriate box and specify the amount in the provided space.
  6. Make sure to fill out the contact information of the Texas MERP representative at the bottom of Section 2, which includes printing their name and title.
  7. Once all sections are filled out, review the entire form for accuracy. Save your changes and prepare to download, print, or share the form as necessary to complete the filing process.

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AUTHORIZATION AND MERP* CERTIFICATION
Estate representatives of deceased Medicaid recipients whose estates may include assets...
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The Texas Department of Aging and Disability Services (DADS) can make a claim for reimbursement for certain Medicaid benefits for recipients who were 55 years or older at the time of death. Through the MERP program, DADS will send a Notice of Intent to File a Claim within 30 days of the date MERP learns of the death.

If you received Medicaid long-term services and supports, the state of Texas has the right to ask for money back from your estate after you die. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services.

A MERP claim may only be brought under the “administration of an estate,” which has a statute of limitations in Texas of four years. After that time, an administration is barred by statute; therefore, a MERP claim is too. Let's say you are averse to using a Lady Bird deed; maybe it sounds fishy to you.

To help pay for these long-term services, every state must have a Medicaid Estate Recovery Program (MERP). If you received Medicaid long-term services and supports, the state of Texas has the right to ask for money back from your estate after you die.

You may also e-mail your questions to merp@hhsc.state.tx.us.

The primary way to avoid probate for a house and ultimately avoid the enforcement of a MERP claim on the family home is called a Lady Bird Deed or Enhanced Life Estate Deed. It offers Texas residents a simple, inexpensive way to transfer real estate at the time of death, without probate.

The estate recovery contractor will send a Notice of Intent to File a Claim (NOI) within 30 days of when they receive notice of the death of a Medicaid recipient.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232