There are two ways to apply for Nursing Home Medicaid

    • You will need the following documents before pursuing one of the two applications types
      • DCF Forms
        • State of Florida Informed Consent Form
        • State of Florida Financial Information Release
        • Authorization To Disclose Information
        • Appointment of a Designated Representative
      • Personal Documents
        • Required
          • IDdriver’s license or gov’t issued picture ID
          • Bank Statementslast 3 months
          • AnnuitiesContract / most recent statement
          • IRA’smost recent statement
          • Brokerage Statementmost recent statement
          • Life Insurancecash value policies / most recent statement
          • Stocks & Bondsfront & back of certificate
          • Power of Attorneyor other docs giving legal authority
          • Medicare Card
          • Social Security Card
        • If Applicable
          • Supplemental Health Insurance Card – front / back
          • Vehicle Title or Registration
          • Mortgage Statement
          • Property Tax Bill
          • Cemetery Lots – deeds
          • Funeral / Burial / Cremation – agreements
          • Marriage Certificates
          • Spouse Death Certificate
        • If Available
          • Birth Certificate
          • Social Security – current benefit letter
          • Pension Statement – current
          • VA Benefits – current benefit letter
      • An online application (if you do not have computer availability you can go to any ACCESS Partner in your community and use the computer provided at that location.         Many locations will assist you in using the computer and provide fax and phone services at no charge.

 

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