Medicaid/VA Planning Documentation

Documentation Needed

1. OPEN accounts:

   1. The last twelve (12) months of statements for all open financial accounts, i.e. checking, savings, money markets, investment accounts, mutual funds, etc.
   2. NOTE: Always provide every numbered page for any statement
2. CLOSED accounts:
   1. Final closing statement with zero balance;
   2. Statement prior to account closing;
   3. Statement from deposit account showing deposit of closed account proceeds
   4. NOTE: Always provide every numbered page for any statement.
3. Annuities:
   1. Copy of the original annuity document;
   2. Statement showing the current value at the present time;
   3. The last twelve (12) months of statements;
   4. The year-end statement from the previous year
   5. NOTE: Always provide every numbered page for any statement.
4. IRA's:
   1. IRA statement from December 31st of the previous year showing the end of year value;
   2. Statement showing the current value at the present time;
   3. The last twelve (12) months of statements;
   4. We may need a complete copy of the original IRA document
   5. NOTE: Always provide every numbered page for any statement.
5. CD's:
   1. Statement of current value;
   2. Last issued statement;
   3. Maturation date;
6. Stocks:
   1. Certificates;
   2. Most recent dividend statement;
   3. Current year documentation showing ownership and number of shares
7. Bonds/T-Bills:
   1. Copies of the original documents, bonds, etc.;
   2. Most recent dividend/income statement;
   3. Current year documentation showing ownership and current value
8. Savings Bonds:
   1. Copies of the bonds
9. Life Insurance Policies:
   1. Current year statement from the company showing:
      1. Name of owner;
      2. Name of the insured;
      3. Beneficiary name;
      4. Face value, cash value and death benefit
10. Income: 
    1. Current year documentation direct from each income source for applicant or spouse. Documentation must show current year monthly gross income and any deductions.
    2. Per DCF standards, bank statements and IRS 1099 forms are not sufficient documentation. Income documentation must come directly from the source of income.
11. Long-Term Care Policies:
    1. Complete copy of any long term care policies for applicant and/or spouse and current year payment statements.
12. Medicare Supplemental or Health Insurance Policies:
    1. Medicare supplemental or health insurance policy premium statements for both applicant and spouse showing the current premium amounts.
13. Funeral/Burial/Cremation Contracts:
    1. Complete, good quality copies of all funeral/burial/cremation contracts for applicant and spouse;
    2. Irrevocable statement for each contract;
    3. Cemetery plot deeds and ownership documentation
14. Homestead:
    1. Copy of deed/title to homestead/residence;
    2. Current homeowner's insurance policy premium declaration page;
    3. Current statement of association fees, if any;
    4. Mortgage statement showing monthly payment and balance owed.
15. Other Real Property:
    1. Copy of deed/title to properties;
    2. If rented, copy of lease/rental agreement;
    3. Current property insurance policy premium declaration page;
    4. Current statement of association fees, if any;
    5. Mortgage statement showing monthly payment and balance owed for homestead
16. Mortgages/Loans/Promissory Notes Made by Applicant or Spouse:
    1. Documentation of any mortgage, loan, and/or promissory note owed to applicant or spouse.
17. Identification (Both applicant and spouse):
    1. Social Security Card;
    2. Medicare Card;
    3. Medicare Supplemental or Health Insurance Card;
    4. Driver's License or Photo ID;
    5. Alien Registration Card/Naturalization Paper;
    6. Birth Certificate or Passport;
    7. Marriage License;
    8. Military discharge papers or DD214
18. Vehicles:
    1. Copy of registrations or title(s) issued for cars, mobile homes, boats, trailers, trucks, vans, recreational vehicles, or other vehicles registered to applicant/spouse.
19. Estate Planning Documents: 
    1. Copies of current Will, Trust, Power of Attorney, and other Estate Planning Documents for applicant and spouse.