SI DEN01120.203 Mailing Addresses for Medicaid Eligibility Decisions on Trusts

Once a decision on the trust has been made and is properly coded on the SSIRD, send a copy of the trust document to the appropriate State Medicaid agency as indicated below:

1634 States

Colorado

Department of Health Care Policy & Financing
1570 Grant St
Denver, CO 80203
ATTN: Trust Reviewer

South Dakota

Department of Social Services
Division of Economic Assistance
700 Governors Drive
Pierre, SD 57501
ATTN: Trust Reviewer

Montana

Department of Public Health & Human Services
P O Box 202925
Helena, MT 59620
ATTN: Trust Reviewer

Wyoming

Department of Health
Office of Health Care Financing
6101 Yellowstone Rd., Suite 210
Cheyenne, WY 82002
ATTN: Trust Reviewer
209(b) and SSI Criteria States

North Dakota

Legal Advisory Unit
600 E. Blvd.
Bismarck, ND 58505
ATTN: Trust Reviewer

Utah

Department of Workforce Services
Centralized Imaging Unit
P O Box 143245
Salt Lake City, UT 84114


FAX: If within Utah fax the trust to:
(801) 526-9500 or
1-877-313-4717 if outside of Utah

If you are in the Denver Region and have any questions regarding where to send trusts contact Rose Medina at 303-844-1836.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0501120203DEN
SI DEN01120.203 - Mailing Addresses for Medicaid Eligibility Decisions on Trusts - 02/07/2013
Batch run: 02/08/2013
Rev:02/07/2013