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N.J.A.C. 10:69-3.35 This file includes all Regulations adopted and published through the New Jersey Register, Vol. 57 No. 12, June 16, 2025 NJ - New Jersey Administrative Code > TITLE 10. HUMAN SERVICES > CHAPTER 69. AFDC-RELATED MEDICAID > SUBCHAPTER 3. ESTABLISHING PROGRAM ELIGIBILITY IN AFDC-RELATED MEDICAID § 10:69-3.35 Repayment (a) The CSSA 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 CSSA shall be divided according to the mutual agreement of the directors of the CSSAs 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 CSSA. 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. History HISTORY: Amended by R.2017 d.209, effective December 4, 2017. See: 49 N.J.R. 1789(a), 49 N.J.R. 3729(a). Rewrote the section. Annotations Notes Chapter Notes NEW JERSEY ADMINISTRATIVE CODE Copyright © 2025 by the New Jersey Office of Administrative Law