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Get Mi Msa-0006 2015
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How to fill out the MI MSA-0006 online
The MI MSA-0006 is an important form used for estate recovery in Michigan. This guide will walk you through each section and field of the form online, ensuring you have all the information you need to complete it effectively.
Follow the steps to successfully complete the MI MSA-0006 online.
- Click ‘Get Form’ button to obtain the form and open it in your editor.
- Identify the person completing the form. Check the appropriate box for 'Personal Representative,' 'Attorney for Estate,' or 'Other,' and fill in their name, address, and telephone number.
- Provide court information. Indicate whether a petition for probate has been filed with a 'Yes' or 'No.' If 'Yes,' include the date filed, probate case number, and county probate court. If 'No,' indicate whether you anticipate filing a petition.
- Fill in the deceased Medicaid member information. Enter the last name, first name, middle name, date of birth, date of death, and social security number. Indicate their marital status at the time of death and include a copy of the marriage license if applicable.
- Complete the statutory exemption information regarding dependents or relatives. Answer questions about children or caretaker relatives living in the home, providing additional documentation if required.
- Provide asset information. Indicate whether the deceased owned any real property or bank accounts at the time of death, including details such as address, market value, account numbers, and balances.
- Certify the information provided by signing the form and indicating the date. Ensure all required documentation, including the deceased Medicaid member's death certificate, accompanies the form.
- Once all sections are filled out and reviewed, save the changes, download the completed form, and print or share it as necessary for submission.
Complete the MI MSA-0006 online to ensure a smooth estate recovery process.
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To obtain a new Michigan Medicaid card, you can contact the Michigan Department of Health and Human Services or visit their website. Online applications are available, and you may also request a replacement by calling their customer service. Ensuring you have your MI MSA-0006 details on hand will quicken the process, providing you the support you need.
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