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Get Authorization And Merp* Certification - Epcounty.com
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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.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Complete your documents online for a smoother process.
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.
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