New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 79 - NJ FAMILYCARE-CHILDREN'S PROGRAM
Subchapter 2 - CASE PROCESSING
Section 10:79-2.9 - Case transfer from one State-approved eligibility determination agency to another

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 above materials, a cover letter specifying that the file is being transferred and requesting written or verbal acknowledgment of receipt;

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 above case material, 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.

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, provided application to transfer has been made, 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, provided application to transfer has been made, 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 NJ FamilyCare-Children's Program Eligibility File, as necessary, including entry of a new case number. If the case is determined eligible for NJ FamilyCare-Children's Program in the receiving agency, there shall be no interruption of entitlement. If the case is determined ineligible for NJ FamilyCare-Children's Program in the receiving agency, eligibility shall be terminated, subject to timely and adequate notice, and the previously eligible person shall be terminated on the NJ FamilyCare-Children's Program Eligibility File and the eligibility determination agency shall send an appropriate notice of ineligibility to the applicant within 30 days;

vii. Notify the agency of origin of the date eligibility for NJ FamilyCare-Children's Program will begin or will be terminated in the receiving agency;

viii. Issue a Health Benefits Identification (HBID) emergency services letter with the new number, if necessary;

ix. Request premium payment required; and

x. Assist in the selection of a managed care organization (MCO), as needed.