About Notice to Administrator of Medicaid Estate Recovery
A notice that the person responsible for a decedent's estate gives to the Medicaid Estate Recovery Program administrator, listing the decedent's details and attached asset schedules.
When you'd use it: The form states it is used when the decedent's estate is subject to the Medicaid Estate Recovery Program, to notify the program administrator.
Where to get the official form
The official version of Notice to Administrator of Medicaid Estate Recovery is published as a PDF by the Ohio courts. We checked this link and it resolved to a form on an official court or government website — always download the current version directly from the source rather than a third-party copy:
Download Notice to Administrator of Medicaid Estate Recovery (PDF) →
Source: supremecourt.ohio.gov
Link last checked: November 5, 2026
How to file Notice to Administrator of Medicaid Estate Recovery in Ohio
- Step 1 — Confirm you have the correct formUse Notice to Administrator of Medicaid Estate Recovery (Form 7.0(A)) when the form states it is used when the decedent's estate is subject to the Medicaid Estate Recovery Program, to notify the program administrator. Double-check it's the right form for your situation — Ohio probate forms are revised periodically, so verify the name and number against your court's current form list before you start.
- Step 2 — Complete every required fieldFill out Notice to Administrator of Medicaid Estate Recovery carefully and review it for errors before filing. Probate cases can already take months — a small mistake on the form can set your timeline back further.
- Step 3 — Get it notarized or witnessed if requiredSome probate forms must be signed in front of a notary or witnesses. Check the instructions on the form itself, and arrange notarization before you file if it's required.
- Step 4 — File it with the correct courtSubmit Notice to Administrator of Medicaid Estate Recovery to the probate court or county clerk handling the estate — usually in the Ohio county where the deceased lived. Ask the clerk how they prefer to receive filings (in person, by mail, or e-filing).