Certification Of Notice To Administrator Of Medicaid Estate Recovery Program {7.0}

FORM 7.0 - CERTIFICATION OF NOTICE TO ADMINISTRATOR OF MEDICAID ESTATE RECOVERY. This form is used in the Stark County, Ohio Probate Court to certify that the required notice has been provided to the Ohio Medicaid Estate Recovery Program regarding the administration of a deceased person's estate. Pursuant to Ohio Revised Code Sections 2117.061 and 5111.11, the fiduciary (or their attorney) must notify the Medicaid Estate Recovery office when someone who may have received Medicaid benefits has died. This notice alerts the state that it may have a claim against the estate to recover Medicaid expenses. The form confirms that proper notification was served by an authorized method, and includes the names and contact information of both the attorney and the person responsible for administering the estate. It must be filed with the probate court after the notice has been sent. www.FormsWorkflow.com