Documents
Instructions
Updated: 4/1998
PURPOSE
Form H1256 is an optional form. It may be used to explore and document how a recipient's financial affairs are handled if the recipient does not report an active bank account.
PROCEDURE
When to Prepare
A Medicaid eligibility caseworker sends Form H1256 to a recipient or responsible person when the recipient does not have an active bank account.
Number of Copies
Complete one original.
Transmittal
Send the original to the recipient or responsible party. After the form is completed, signed, and returned to the caseworker, he files it in the miscellaneous section of the recipient's case record.
Form Retention
The form is retained for three years after the case is closed or denied.
DETAILED INSTRUCTIONS
Self-explanatory.