[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Guardian's Name] [Guardian's Address] [City, State, ZIP] Subject: Alaska Sample Letter for Guardianship relating Social Security Income — Medicaid Benefits Dear [Guardian's Name], I hope this letter finds you in good health. I am writing to request a detailed description of the guardianship arrangements you have made for [Beneficiary's Name], a recipient of Social Security Income (SSI) and Medicaid benefits in the state of Alaska. This information is required to ensure the continuation of [Beneficiary's Name]'s benefits and to maintain compliance with the regulations set forth by the Social Security Administration (SSA) and the Alaska Medicaid program. To ensure that [Beneficiary's Name] continues to receive SSI and Medicaid benefits, it is necessary for [Beneficiary's Name] to have a court-appointed guardian. As the Social Security Administration requires documentation describing the terms and details of the guardianship arrangement, I kindly request you to provide the following information: 1. Confirmation of the Legal Guardianship: a. Official court documentation stating that you have been appointed as [Beneficiary's Name]'s legal guardian. b. The date on which the legal guardianship was granted. c. The court's jurisdiction and the case number associated with the guardianship proceeding. 2. Guardian's Responsibilities: a. A detailed outline of the responsibilities and duties that you undertake as [Beneficiary's Name]'s guardian. b. Explain how you ensure the wellbeing and best interests of [Beneficiary's Name]. 3. Financial Management: a. Description of your management of [Beneficiary's Name]'s Social Security Income (SSI) and Medicaid benefits. b. Information about the establishment of a special needs trust, if applicable. c. Documentation of the approval, if any, from the SSA or the Alaska Medicaid program for your management of [Beneficiary's Name]'s benefits. 4. Reporting and Compliance: a. Explain how you maintain compliance with the requirements set by the SSA and the Alaska Medicaid program. b. Documentation of any reporting or documentation you submit to the SSA or the Alaska Medicaid program to ensure the continuity of [Beneficiary's Name]'s benefits. Please ensure that the provided description is comprehensive and addresses all the necessary aspects outlined above. Additionally, kindly attach any supporting documentation such as court orders and approvals for financial management, if applicable. Your prompt attention to this matter is greatly appreciated, as it is crucial for [Beneficiary's Name]'s continued eligibility for SSI and Medicaid benefits. Should you have any questions or require further information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Thank you for your cooperation in this matter. Sincerely, [Your Name]