Get Sc Dhhs 3400-b 2016

The SC DHHS 3400-B form is essential for individuals seeking to determine their eligibility for nursing home, institutional, or in-home care. This guide provides detailed, step-by-step instructions on how to complete the form online accurately and efficiently.

Follow the steps to successfully complete the SC DHHS 3400-B online

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the name of the person needing assistance in the designated fields: First, Middle, Last. Ensure that the Social Security Number and Medicaid ID are also provided accurately.
3. Input the date of birth in the format mm/dd/yyyy. If you are the authorized representative, fill in your name and relationship to the applicant.
4. Complete the Statement of Transfers section, answering all questions regarding closed bank accounts, investment accounts, and property transfers in the past five years. If applicable, provide the details requested for each account or property.
5. For any vehicles sold or given away, list the details including appraised value and sale price. Ensure all entries reflect accurate information.
6. Include any additional information regarding cash transfers and state whether anyone has conservatorship, guardianship, or power of attorney for the applicant.
7. Answer questions about the applicant's current location and past residences over the last five years, providing all required addresses and relevant dates.
8. Indicate if the applicant wants to allocate income to a spouse or dependent adults and provide information on any other income received.
9. Disclose any assets owned or properties in accordance with the instructions, including their current value or balance.
10. If applicable, provide information about the applicant’s spouse(s) and any previous marriages, including relevant dates and estate information.
11. Review all entries for accuracy, make necessary corrections, and finalize the document.
12. Save changes, download a copy for your records, and print or share the form as needed.

Complete the SC DHHS 3400-B form online to ensure your application is processed efficiently.