Subject: Kansas Sample Letter for Guardianship Regarding Social Security Income — Medicaid Benefits [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Beneficiary's Name] [Beneficiary's Address] [City, State, ZIP] Dear [Beneficiary's Name], RE: Kansas Sample Letter for Guardianship relating to Social Security Income and Medicaid Benefits I hope this letter finds you in good health. I am writing to provide you with important information regarding your Social Security Income (SSI) and Medicaid benefits. As your appointed legal guardian, it is my responsibility to ensure that your financial and healthcare affairs are handled effectively. It is imperative that we maintain an open line of communication to ensure your SSI and Medicaid benefits remain uninterrupted. Failure to do so may result in temporary suspension or termination of these vital benefits. To safeguard your benefits and comply with the Kansas Department for Aging and Disability Services (DADS), I kindly request your assistance in completing the required paperwork outlined below: 1. Kansas Guardianship Authorization Form: Please fill out this form to authorize me as your legal guardian. This will grant me the proper authority to act on your behalf when dealing with SSI and Medicaid-related matters. Ensure the form is signed and dated appropriately. 2. Medicaid Renewal Application: Medicaid benefits require annual renewal. To avoid any lapse in coverage, please provide me with any necessary documentation that may be needed to complete your Medicaid renewal application accurately. This will enable us to complete the process on time and maintain your essential healthcare coverage. 3. Social Security Representative Payee Form: As your appointed guardian, I am responsible for managing your Social Security benefits. To perform this duty effectively, I kindly request you complete the Social Security Representative Payee form. This form will allow us to ensure the proper allocation of your SSI funds and promptly address any changes or updates required. Please note that failure to provide the requested documents within the specified time frame may compromise the continuity of your SSI and Medicaid benefits. If you require any assistance or have questions, please do not hesitate to contact me at [phone number] or [email address]. I am here to support you throughout this process. Thank you for your cooperation and understanding in this matter. By working together, we can ensure the continuity of your SSI and Medicaid benefits, providing you with the necessary financial and healthcare assistance you require. Sincerely, [Your Name] [Your Title/Relation to the Beneficiary]