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For my mom & MIL, the state (TX) sent the renewal to whomever was on file for contact & responsibility as per the initial Medicaid application, even if out of state. So to me in Louisiana for my mom, and to a BIL in NM for my mil. I didn’t know that renewals happened (& I really did not recall anyone mentioning it & I’m pretty ocd) and had put all paperwork up into storage. The respond by date was like 14 days too... that was a fun weekend.

The renewal required lots of the same items submitted in the initial application - like insurance stuff, citizenship info - Plus last 4 months of moms bank statements, that years “awards letters” from SSA and other retirement income, tax assessor bill, DPOA, etc. And a 5 page questionnaire. I don’t know if all states do it like this, but if so, you kinda want to keep her stuff organized in a binder & at the ready for the renewal.
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I would say the NH fills this out when they are payee of the SS and pension. Not sure how they would get bank info. Maybe they were given that info by family. If no family, maybe a State guardian? And then I would think the guardian would do the replication.

Personally, I would do the reapplication. I don't trust others to do their jobs correctly and in a timely manner. If its anything like my nephews reapp for Health insurance, its pretty cut and dry,
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Every year on the anniversary when the first application for my MIL was made by me, I get the reapplication from the county in the mail. Since I kept a copy of her first app, I just pull that out and copy the info if nothing has changed, and provide the updated proofs of bank statements, etc. I have read where nursing homes have filled out the app, but not sure how that can be, but rules differ from state to state.
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