PDF
Word
Exhibit C Estate Recovery Funeral Home Attestation - Rhode Island
What Is Exhibit C?
This is a legal form that was released by the Rhode Island Executive Office of Health and Human Services - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Exhibit C?
A: Exhibit C is a document related to Estate RecoveryFuneral Home Attestation in Rhode Island.
Q: What is Estate Recovery Funeral Home Attestation?
A: Estate Recovery Funeral Home Attestation is a process where the state recovers costs of Medicaid-funded long-term care services from a deceased individual's estate.
Q: What is the purpose of Exhibit C?
A: The purpose of Exhibit C is to provide information and attestations related to funeral expenses and services for Medicaid applicants and recipients.
Q: Who needs to complete Exhibit C?
A: Funeral homes need to complete Exhibit C for Medicaid applicants and recipients who have incurred funeral expenses.
Q: How does Exhibit C relate to Rhode Island?
A: Exhibit C is specific to Rhode Island and is used within the state for Estate Recovery Funeral Home Attestation.
Q: What information is required in Exhibit C?
A: Exhibit C requires information about the funeral expenses, services provided, and the deceased individual's estate.
Q: What is the deadline for submitting Exhibit C?
A: The deadline for submitting Exhibit C may vary, so it is important to check with the Rhode Island Department of Human Services or the local Medicaid office for specific timelines.
Q: Is completing Exhibit C mandatory?
A: Yes, completing Exhibit C is mandatory for funeral homes when dealing with Medicaid applicants and recipients who have incurred funeral expenses.
Q: Can individuals complete Exhibit C themselves?
A: No, Exhibit C is completed by funeral homes and not by the individuals themselves.
Form Details:
- The latest edition provided by the Rhode Island Executive Office of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Exhibit C by clicking the link below or browse more documents and templates provided by the Rhode Island Executive Office of Health and Human Services.
