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Page 2 of 2 § 10:69-6.2 Right to fair hearing and administrative review (f) Timely notice may be dispensed with but adequate notice shall be sent not later than the effective date of action when: 1. The agency has factual information confirming the death of a beneficiary; 2. The agency receives a clear written statement signed by a beneficiary that he or she no longer wishes continued Medicaid coverage, or that gives information which requires termination, and the beneficiary has indicated, in writing, that he or she understands that this must be the consequence of supplying such information; 3. The beneficiary has been admitted or committed to an institution, that does not qualify for Federal financial participation under the State plan; 4. The beneficiary has been placed in a nursing facility, intermediate care facility or long-term hospital; 5. The claimant's whereabouts are unknown and agency mail has been returned by the post office indicating no known forwarding address. The Health Benefits Identification (HBID) Card or HBID Emergency Services Letter must, however, be made available to the beneficiary if his or her whereabouts become known during the medical coverage period, unless (f)5i below applies. i. The claimant moves out-of-State, with apparent intent to remain permanently absent from New Jersey; 6. A beneficiary has been accepted for medical assistance in another state and that fact has been established by the CSSA previously providing Medicaid coverage; 7. An AFDC child is removed from the home as a result of a judicial determination, or voluntarily placed in foster care by his or her legal guardian; or 8. The application for Medicaid coverage is being denied. 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 (a); in (b), substituted "CWA" for "county board of social services" three times; in (d)10 and (f)6, substituted "CWA" for "CBOSS"; and in (f)5, substituted "Health Benefits Identification (HBID) Card or HBID Emergency Services Letter" for "Medicaid Card". Annotations Notes Chapter Notes NEW JERSEY ADMINISTRATIVE CODE Copyright © 2025 by the New Jersey Office of Administrative Law End of Document