New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 78 - NJ FAMILYCARE
Subchapter 2 - CASE PROCESSING
Section 10:78-2.5 - Case transfer from one eligibility determination agency to another
Universal Citation: NJ Admin Code 10:78-2.5
Current through Register Vol. 56, No. 18, September 16, 2024
(a) When an individual's eligibility transfers from one eligibility determination agency to another, responsibility for the case shall be transferred in a manner so as not to adversely affect the rights of any individual to program entitlement.
1. For individuals for whom, because of an
initial screening, it is determined that the eligibility determination agency
shall transfer the application to the appropriate agency, the agency of origin
has the responsibility to:
i. Transfer,
within five working days from the date of the initial screening, a copy of the
application form including all verification; and
ii. Send the materials in (a)1i above, with a
cover letter specifying that the application is being transferred and
requesting written or verbal acknowledgment of receipt.
2. For individuals for whom a determination
has been made, it is determined that because of a change in circumstances the
eligibility determination agency shall transfer the case, the agency of origin
has the responsibility to:
i. Transfer,
within five working days from the date of the report of a change in
circumstances, a copy of pertinent material to the appropriate agency. Such
material shall include, at a minimum, a copy of the first application and most
recent application form including all verification;
ii. Send the case material in (a)2i above,
with a cover letter specifying that the case is being transferred and
requesting written acknowledgment of receipt;
iii. Forward promptly to the receiving
agency, copies of any other material mutually identified as necessary for case
administration; and
iv. Notify the
receiving agency if there will be a delay in providing any of the case
material.
3. The
receiving agency shall:
i. Communicate
promptly with the individual upon receipt of the case material;
ii. Immediately notify the agency of origin,
in writing, of the date the initial case material was received;
iii. Review eligibility for the case. If
questions regarding case eligibility exist because of information provided by
the agency of origin, that agency shall be consulted for resolution of the
issues;
iv. Accept responsibility
for the case effective with the next month if the initial case material has
been received before the 10th of the month;
v. Accept responsibility for the case for the
second month after the month of receipt of initial case material when such
material is received on or after the 10th of the month;
vi. Update the Eligibility File, as
necessary, including entry of a new case number. If the case continues to be
eligible for NJ FamilyCare in the receiving agency, there shall be no
interruption of entitlement. If the case is determined ineligible for NJ
FamilyCare in the receiving agency, eligibility shall be terminated, subject to
timely and adequate notice, and the previously eligible person terminated on
the Eligibility File;
vii. Notify
the agency of origin of the date eligibility for NJ FamilyCare will begin or
will be terminated in the receiving agency; and
viii. Issue a NJ FamilyCare identification
card with the new number if necessary.
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.
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