New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 69 - AFDC-RELATED MEDICAID
Subchapter 9 - OTHER AGENCY RESPONSIBILITIES
Section 10:69-9.19 - Reports on cases involving fraudulent receipt of Medicaid coverage

(a) In cases where the CWA has completed an investigation based upon a belief that fraud has been committed, a report shall be routed through the CWA director to the Division of Medical Assistance and Health Services. The report shall be completed when the CWA determines that no fraud exists, when the case is disposed of through administrative action, or when the case is forwarded to the county prosecutor.

(b) Upon disposition of the case by law enforcement officials (county prosecutor or municipal court), a subsequent report shall be completed and routed through the CWA director to the Division of Medical Assistance and Health Services.