New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 69 - AFDC-RELATED MEDICAID
Subchapter 3 - ESTABLISHING PROGRAM ELIGIBILITY IN AFDC-RELATED MEDICAID
Section 10:69-3.35 - Repayment
Universal Citation: NJ Admin Code 10:69-3.35
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The CWA shall, in all circumstances, take appropriate action to recover all AFDC-related Medicaid improperly granted. The action taken shall be in accordance with the appropriate sections of this chapter, N.J.A.C. 10:49, and any other applicable authority.
1. Recoveries of funds applicable to more
than one CWA shall be divided according to the mutual agreement of the
directors of the CWAs involved.
(b) Properly granted AFDC-related Medicaid coverage rules are as follows:
1. Repayment
of Medicaid coverage in the AFDC-related Medicaid program (all segments) is
required in certain cases in which Medicaid coverage is provided for treatment
where another third party is responsible for payment of the medical services.
Medicaid coverage is granted while the beneficiary(ies) awaits receipt of funds
from some other source (see
N.J.A.C.
10:69-3.36) .
(c) Rules when agreement to repay is not required are as follows:
1. Agreements to
Repay are not to be used in any Medicaid program.
2. Upon signing an application for
AFDC-related Medicaid (PA-1J), the applicant or beneficiary automatically
assigns all support rights (whether for past due or future support) to the CWA.
The signing of an Agreement to Repay is therefore not required when the pending
payment arises from potential entitlement to payment of support from a
relative.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.