Many caregivers know that they will one day be making application for Medicaid

financial assistance on behalf of a senior. While everyone knows that there will

be application forms to complete when the time comes, few know what supporting

documents must be submitted with the completed application.

Many of these documents will not be readily available when Medicaid

application time arrives. Once the time to apply has arrived, caregivers find

themselves under pressure to get the paperwork in. Having some time to collect

the necessary supplemental documents in advance is a blessing.

Here's a list of the most commonly required documents. Because Medicaid is

administered by the various States, there may be additional documents required

for your jurisdiction. These are the most commonly and universally required:

• Photo identification card;

• United States birth certificate, or if foreign-born, proof of citizenship or

  legal residence (passport, naturalization document, "green card," voter

  registration card, alien registration);

• Social Security card;

• Medicare card, supplemental insurance cards, other health insurance cards if

  applicable;

• Marriage certificate, divorce papers, or spouse' death certificate if

  applicable;

• Veteran discharge document for applicant and/or spouse;

• Copies of all Guardianship or Power of Attorney documents;

• Residency verification showing county of residence: Rent receipt, lease;

• Documentation of the source of all income including Social Security,

  pensions, IRA distributions, interest, royalties;

• Documentation of all financial resources for the previous five years, both

  open and closed accounts: Checking account statements, bank passbooks, savings

  account statements, money market accounts, CDs, IRAs, mutual funds, stocks,

  bonds, etc.;

• Documentation of spousal expenses if there will be a spouse remaining "in

  the community:" Mortgage or rent, food, utilities;

• Copies of all unreimbursed medical expenses for the past 12 months:

  physician bills, hospital bills, medical equipment, prescriptions;

• Income tax returns for the last five years;

• For all real property sold or transferred during the lst 60 months (5

  years), documentation of the value at the time of sale, copy of the deed, copies

  of sale documents;

• For all owned property: copies of deeds, mortgage documents, reverse

  mortgage documents;

• For income-producing property: copy of the lease or statement from the

  tenant to document amount of monthly/annual income. Documentation of

  property-related expenses such as taxes, insurance, utilities, maintenance;

• All life insurance policies with letters documenting current cash value;

• For all annuities: copies of each contract, monthly statements for at least

  the past 5 years;

• Copy of irrevocable funeral plan contract;

• Copy of burial plot deed;

• Copies of all trust agreements;

• Signed statement from a bank officer listing all contents of all safety

  deposit boxes;

• Copy of title or registration for all automobiles, motorcycles, campers,

  boats, etc. If applicant owns more than one car, current value of all

  automobiles;

This is a formidable list, and not one you want to have to tackle when

you're pressed for time. If some of these documents are not handy, it may take a

while to get them from the source. So the earlier you start getting these things

together, the better.

Almost no one will have all of these documents, because some won't apply.

And, of course, this list is always subject to change. Your individual state

Medicaid office will have the most current list of the documents they

require.

If you can't find them, copies of birth certificates, marriage certificates,

and death certificates can be obtained from your state Vital Statistics

office.