Form DHCS6251 Medi-Cal Estate Recovery Questionnaire - California

What Is Form DHCS6251?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHCS6251 Medi-Cal Estate Recovery Questionnaire?
A: The DHCS6251 Medi-Cal Estate Recovery Questionnaire is a form used in California to gather information about the assets of a deceased Medi-Cal recipient.

Q: Who should fill out the DHCS6251 form?
A: The form should be filled out by the executor or personal representative of the deceased Medi-Cal recipient's estate.

Q: What information is required on the DHCS6251 form?
A: The form asks for information about the deceased person, their estate, and any transfers or transfers of assets that occurred before their death.

Q: Why is the DHCS6251 form necessary?
A: The form is necessary to determine if the deceased person's estate is subject to estate recovery by the California Department of Health Care Services (DHCS) for the cost of Medi-Cal benefits received.

Q: When should the DHCS6251 form be submitted?
A: The form should be submitted within 90 days of the date of death or 90 days after the date of notice from DHCS, whichever is later.

Q: Is the DHCS6251 form confidential?
A: Yes, the information provided on the form is considered confidential and is protected by law.

Q: What happens after I submit the DHCS6251 form?
A: After the form is submitted, DHCS will review the information and determine if estate recovery is applicable.

Q: Can I get assistance in filling out the DHCS6251 form?
A: Yes, legal or financial professionals can provide assistance in filling out the form.

Q: What if I do not submit the DHCS6251 form?
A: Failure to submit the form may result in a claim against the estate for Medi-Cal benefits received.