New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 69 - AFDC-RELATED MEDICAID
Subchapter 5 - CONTINUING ELIGIBILITY IN AFDC-RELATED MEDICAID
Section 10:69-5.11 - Notice of agency decision
Universal Citation: NJ Admin Code 10:69-5.11
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Each applicant shall receive timely and adequate written notice of any change in Medicaid eligibility status in accordance with N.J.A.C. 10:69-6.
(b) If the notice of intention to terminate Medicaid eligibility is related to identification of possible fraud, beneficiaries are entitled to timely notice as defined at N.J.A.C. 10:69-6.1.
1. Seven days notice shall be considered
timely when, in the judgment of the CWA director, there is substantiated
evidence that the client is receiving Medicaid coverage through willful fraud
(see N.J.A.C. 10:69-9.15 through
9.18).
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