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N.J.A.C. 10:69-5.12 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 5. CONTINUING ELIGIBILITY IN AFDC-RELATED MEDICAID § 10:69-5.12 Periodic notice to client (a) The client shall be informed periodically (at least once every 12 months) of his or her continuing obligation to furnish accurate and timely information to the CSSA concerning changes in income or other circumstances that may affect the receipt of benefits. The applicant shall receive, and have explained if necessary, a copy of the pamphlet Medicaid Rights and Responsibilities. This pamphlet shall be given to the applicant at the time of application and at each redetermination if the beneficiary has not retained the copy previously provided. The client shall inform the CSSA of any change as soon as possible but in no event later than two weeks after the change takes place. Failure of the client to so inform the CSSA shall constitute willful withholding of information. (b) The client, by the signing of an affidavit, agrees that he or she has received the pamphlet, has been informed of his or her rights and obligations as stated in the pamphlet, and understands them. History HISTORY: Special amendment, R.2000 d.411, effective September 12, 2000 (to expire March 12, 2001). See: 32 N.J.R. 3598(a). In (a), substituted "12 months" for "six months"; and "receipt of benefits" for "amount of the grant" in the first sentence. Adopted concurrent proposal R.2001 d.123, effective March 12, 2001. See: 32 N.J.R. 3598(a), 33 N.J.R. 1123(c). Readopted provisions of R.2000 d.411 without change. Amended by R.2017 d.209, effective December 4, 2017. See: 49 N.J.R. 1789(a), 49 N.J.R. 3729(a). In (a), substituted "CWA" for "CBOSS" three times, and substituted "that" for "which". Annotations Notes Chapter Notes