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Probate Court Administrative Order 2022-9 (MERP Certification for Muniment of Title) — Galveston County. The operative requirements are quoted verbatim from the governing document (registered/posted 01/01/2023); the document in custody is the controlling text.
Texas > Galveston County > Probate Court
PROBATE COURT OF GALVESTON COUNTY, TEXAS ADMINISTRATION ORDER 2022-9 IT IS ORDERED that effective October 1, 2009, all applications for probate of a will as a muniment of title where the decedent was over the age of 55 and died after March 1, 2005, will need to have filed before the court hearing the form Authorization for MERP Certification completed by the Medicaid Estate Recovery Program. IT IS FURTHER ORDERED that applicants may white out the first two sections of the decedent’s social security number after receipt of the completed form from the Medicaid Estate Recovery Program and before filing with the County Clerk’s office. IT IS ALSO ORDERED that his order shall replace Administrative Order 2009-02 as a revised MERP form has been created. This Order is effective as of the date it is entered Signed: [handwritten: December 16, 2022] [signature] Judge Presiding [Stamp: FILED 2022 DEC 16 AM 10:18 [signature] COUNTY CLERK GALVESTON COUNTY, TEXAS] TEXAS MEDICAID ESTATE RECOVERY PROGRAM (MERP) AUTHORIZATION AND MERP CERTIFICATION FROM: Name: ______ Company/Firm: ______ Address: ______ Phone Number: ______ Fax Number: ______ RE: Deceased Owner's Name: ______ Date of Death: ______ Deceased Owner's Medicaid ID and/or Social Security Number: ______ Complete Property Address: ______ SECTION 1: Authorization to Obtain MERP Claim Information (To be Completed by Heirs/Beneficiaries or Estate Representative) The undersigned heir/beneficiaries or Estate Representative of the Deceased Owner are unable to certify that the estate of the Deceased Owner is exempt or is not subject to a MERP claim, and hereby authorizes MERP to complete Section 2 of this form below and provide same or any other information related to a MERP claim against Deceased Owner to the requestor above. By: ______ (Signature) | By: ______ (Signature) Printed Name: ______ | Printed Name: ______ SECTION 2 CERTIFICATION BY MERP (To be Completed by MERP) ☐ ______ initial | Based on the Social Security Number provided, there is no pending MERP Claim against the Deceased Owner's estate and the State of Texas does not intend to file a MERP Claim against the Deceased Owner's estate. ☐ ______ initial | There is a MERP Claim filed against the Deceased Owner's estate in amount of $______, as evidenced by the attached document. ☐ ______ initial | MERP intends to file a MERP claim against the Deceased Owner's estate in the amount of $______. This is not a dismissal of any other claim the State may have against this estate. Estate representatives of deceased Medicaid recipients whose estates may include assets such es, but not limited to, qualified income trusts, other trusts, annuities, torts, or private insurance policies, should also check with the Health and Human Services Commission's Provider Recoupments and Holds department by calling: (512) 438-2200, #4 to determine if HHSC may have other claims on this estate. TEXAS MERP REPRESENTATIVE ______ Signature | ______ Date ______ Printed Name | ______ Title FAX OR MAIL COMPLETED FORM TO: HMS – The Texas Medicaid Estate Recovery Contractor, 5615 High Point Drive, Suite 100, Irving, Texas 75038, Phone: 1-800-641-9356 OR BY EMAIL AT MERPCERTS@GAINWELLTECHNOLOGIES.COM MERP Certification and Authorization Form – Revised September 2019 [Stamp: FILED 2022 DEC 16 AM 10:18 [signature] COUNTY CLERK GALVESTON COUNTY, TEXAS] [Two-page scanned file typed from the page images (its text layer is OCR): page 1 is the order, signed with the date written by hand over the typed title "Judge Presiding" (no typed name), and page 2 is the blank Texas Medicaid Estate Recovery Program authorization and certification form the order requires, given as a blank form with its boxes as ☐ and its rows as lines. The words "OR BY EMAIL AT" and the e-mail address are typed onto the form in a different typeface. Both pages carry the County Clerk's file stamp. The order's apostrophes are curly and the form's straight, as printed. Source wording is kept as printed, including "IT IS ALSO ORDERED that his order", the unpunctuated last sentence of the order, "heir/beneficiaries" and "such es". Bold, italics and underlining are not reproduced.]
PROBATE COURT OF GALVESTON COUNTY, TEXAS ADMINISTRATION ORDER 2022-9 IT IS ORDERED that effective October 1, 2009, all applications for probate of a will as a muniment of title where the decedent was over the age of 55 and died after March 1, 2005, will need to have filed before the court hearing the form Authorization for MERP Certification completed by the Medicaid Estate Recovery Program. IT IS
Reviewer note: Operative mandatory-language provisions quoted verbatim from the registered document; the full document (sha256 7280cb1ba21f…) is the controlling text. [TRANSCRIBED BY EYE 2026-09-23 (corpus-0920 P12): every page of the registered file (sha256 7280cb1ba21f..., 2 page(s)) typed from the page images, its text layer used only as a check; verbatim, source typos kept, stamps/signatures bracketed; the earlier abstract replaced by the full instrument; confidence high. benchpath-tx-corpus0920-p12-2026-09-21]
Standing order of the 109th Judicial District Court for every pending or later-filed case in Andrews, Winkler and Crane Counties: any attorney or self-represented litigant who uses any form of artificial intelligence for legal research or drafting in a case must, before using AI-generated information in a court submission or proceeding, sign and submit the court's certification form stating that all language, quotations, sources, citations, arguments and legal analysis created or contributed to by generative AI were verified as accurate by a human through traditional (non-AI) legal sources, and acknowledging responsibility and potential sanctions for their or their co-counsel's failure to comply. Effective immediately; in effect until rescinded or replaced.
Standing order of the 109th Judicial District Court for every pending or later-filed case in Andrews, Winkler and Crane Counties: any attorney or self-represented litigant who uses any form of artificial intelligence for legal research or drafting in a case must, before using AI-generated information in a court submission or proceeding, sign and submit the court's certification form stating that all language, quotations, sources, citations, arguments and legal analysis created or contributed to by generative AI were verified as accurate by a human through traditional (non-AI) legal sources, and acknowledging responsibility and potential sanctions for their or their co-counsel's failure to comply. Effective immediately; in effect until rescinded or replaced.