Get Sc Dhhs 3400-b 2013

Filling out the SC DHHS 3400-B form can seem intimidating, but with this comprehensive guide, you'll be equipped to provide the necessary information with ease. This form is essential for determining eligibility for nursing home, institutional, or in-home care services from the South Carolina Department of Health and Human Services.

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

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the name, social security number, and date of birth of the person needing assistance in the designated fields. Ensure accuracy to avoid delays.
3. Indicate the current location of the individual needing assistance, selecting from options like home, hospital, or nursing home. If not at home, specify the name of the facility and the date they entered it.
4. Check the appropriate box if anyone has conservatorship, guardianship, or power of attorney for the applicant. If applicable, provide the necessary legal documentation and contact information.
5. If the applicant is married and entering a nursing home, answer whether they wish to allocate part or all of their income to their spouse remaining at home.
6. State whether there are dependent children or adults that the applicant would like to allocate income for, selecting 'yes' or 'no'.
7. Confirm if the applicant or spouse has ever worked somewhere that provides retirement benefits. If yes, provide details about the employment.
8. Report any income received or applied for by the applicant or anyone in the home, checking all relevant boxes and completing the income table provided.
9. List any owned assets or resources by checking the applicable boxes and providing detailed information in the accompanying table.
10. If the applicant or spouse owns any property, provide details regarding the property ownership, including whether it is the current primary residence.
11. Indicate if the applicant or spouse has closed any bank accounts in the past five years and provide the necessary details.
12. State whether the applicant or spouse has sold or given away any resources in the past five years, detailing what items were transferred.
13. Complete the section regarding where the applicant has lived in the past five years, providing the state, city, and county along with the duration of residence.
14. If the applicant was ever married, provide information regarding their spouses, including current status and relevant dates.
15. Provide information about the applicant’s parents if known, including their status and any relevant contact details.
16. After completing the form, ensure to print it and sign where indicated before submission.
17. Finally, save your changes, and use the options to download, print, or share the completed form as needed.

Take the first step towards securing care by completing the SC DHHS 3400-B online today.