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  • Dma-5114-iapdf Request For Documentation For Undue Hardship Claim - Info Dhhs State Nc

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North Carolina County Department of Social Services REQUEST FOR DOCUMENTATION FOR UNDUE HARDSHIP CLAIM Notice Date: Case Name and Address: You/your spouse or representative transferred asset(s) and.

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For Medicaid eligibility, there are also many assets that are considered non-countable (exempt). Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts up to $15,000, and generally one's primary home.

However, Medicaid keeps a running tab of all of the payments they make on your behalf. After you pass away, Medicaid will try to seek reimbursement from your estate and can force the sale of your home in order to pay Medicaid back.

Undue hardship is when a sanction period for Medicaid eligibility imposed due to a transfer of assets causes you to be deprived of: Medical care causing your life to be endangered, or • Food, clothing, shelter, or other necessities of life.

Who is eligible for North Carolina Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

State Exemptions From Medicaid Recovery They cannot recoup expenses if your spouse is still living. As long as your spouse lives longer than 1 year after you die, Medicaid cannot make a claim on the estate for your expenses. Have a Child Under 21 or a blind or disabled child.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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