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Form DOH-5298 Request for Assessment - Spousal Impoverishment - New York
What Is Form DOH-5298?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form DOH-5298?
A: Form DOH-5298 is a request for assessment used in New York to determine spousal impoverishment.
Q: What is spousal impoverishment?
A: Spousal impoverishment refers to situations where one spouse requires long-term care and the other spouse wants to maintain a certain level of income and assets.
Q: Who can use form DOH-5298?
A: Form DOH-5298 can be used by couples in New York where one spouse requires long-term care and the other spouse wants to protect their income and assets.
Q: What does the assessment determine?
A: The assessment determines if the spouse requiring long-term care can qualify for Medicaid assistance without leaving their spouse impoverished.
Form Details:
- Released on January 1, 2023;
- The latest edition provided by the New York State Department of Health;
- 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 fillable version of Form DOH-5298 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
