633.231 Notice in intestate estates — medical assistance claims. 1. Upon opening administration of an intestate estate, the administrator shall, in accordance with section 633.410, provide by electronic transmission on a form approved bythe department of health and human services to the entity designated by the departmentof health and human services, a notice of opening administration of the estate and of theappointment of the administrator, which shall include a notice to file claims with the clerkor to provide electronic notification to the administrator that the department has no claimwithin six months from the date of sending this notice, or thereafter be forever barred. 2. The notice shall be in substantially the following form: In the District Court of Iowa in and for .................... County. In the Estate of Probate No. ................ ...................., Deceased NOTICE OF OPENINGADMINISTRATION OFESTATE, OF APPOINTMENT OFADMINISTRATOR, ANDNOTICE TO CREDITOR To the Department of Health and Human Services Who May Be Interested in the Estate of ...................., Deceased, who died on orabout ........................ ADMINISTRATOR, ANDNOTICE TO CREDITOR To the Department of Health and Human Services Who May Be Interested in the Estate of ...................., Deceased, who died on orabout ........................ (date): You are hereby notified that on the ........ day of ............ (month), ............ (year), an intestate estate was opened in the above-namedcourt and that .................... was appointed administrator of the estate. You are further notified that the birthdate of the deceased is ............ and the deceased’s social security number is...-...-.... Thename of the spouse is ................................. The birthdate of thespouse is ............ and the spouse’s social security number is...-...-....,and that the spouse of the deceased is alive as of the date of thisnotice, or deceased as of ........................ (date). You are further notified that the deceased was/was not a disabled or a blind child of the medical assistance recipient by the nameof ...................., who had a birthdate of ............ and a social security number of...-...-...., and the medical assistance debt ofthat medical assistance recipient was waived pursuant to section249A.53, .........., who had a birthdate of ............ and a social security number of...-...-...., and the medical assistance debt ofthat medical assistance recipient was waived pursuant to section249A.53, subsection 2, paragraph 'a', subparagraph (1), and is nowcollectible from this estate pursuant to section 249A.53, subsection2, paragraph 'b'. Notice is hereby given that if the department of health and human services has a claim against the estate for the deceasedperson or persons named in this notice, the claim shall be filed withthe clerk of the above-named district court, as provided by law,duly authenticated, for allowance, within six months from the dateof sending this notice and, unless otherwise allowed or paid, theclaim is thereafter forever barred. If the department does not havea claim, the department shall return the notice to the administratorwith notification stating the department does not have a claimwithin six months from the date of sending this notice. Dated this ........ day of ............ (month), ............ (year) ....................Administrator of the estate....................Address Sat Dec 23 11:24:34 2023 Iowa Code 2024, Section 633.231 (72, 2) s ........ day of ............ (month), ............ (year) ....................Administrator of the estate....................Address Sat Dec 23 11:24:34 2023 Iowa Code 2024, Section 633.231 (72, 2) §633.231, PROBATE CODE 2 ....................Attorney for the administrator....................Address 2001 Acts, ch 109, §1; 2002 Acts, ch 1119, §97; 2007 Acts, ch 134, §11; 2010 Acts, ch 1137, §4; 2011 Acts, ch 34, §139; 2016 Acts, ch 1073, §171; 2023 Acts, ch 19, §1275 Referred to in §633.410, 635.13Section amended Sat Dec 23 11:24:34 2023 Iowa Code 2024, Section 633.231 (72, 2)
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