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N.J.A.C. 10:69-2.3 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 2. THE APPLICATION PROCESS § 10:69-2.3 Purpose and scope of first contact (a) The responsibility of the agency during the initial contact shall include, but not be limited, to: 1. Determining and explaining the medical assistance program for which the client may be eligible and informing the client how and where to apply; 2. Advising individual of general requirements of the application process, for example, the necessity of contacting certain relatives and of certain other collateral contacts with an explanation of the right of the applicant to confidentiality and to be primary source of information. The application form includes a blanket consent statement. The client should be informed that he or she is consenting to have the CSSA contact others by signing this form. The consent statement on the application form authorizes the CSSA to contact such individuals and agencies to confirm the income of the applicant including, but not limited to, family members, the State Division of Taxation, landlords, employers, and banks, or other financial institutions. The eligibility worker shall specifically advise each applicant that by signing the waiver he or she is granting such an authorization. In addition to such oral explanations, the individual shall be provided with the pamphlet, Medicaid Rights and Responsibilities; 3. Advising individual that Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA), Pub. L. 101-336, codified as 42 U.S.C. §§ 12101 et seq., prohibit discrimination in determining eligibility for AFDC-related Medicaid; 4. Determining whether the individual does indeed wish to apply with full understanding of the need to verify essential eligibility factors; 5. Taking the application without delay; and 6. Advising a pregnant woman that she may make application for New Jersey Care ... Special Medicaid Programs. History HISTORY: Amended by R.2005 d.64, effective February 22, 2005. See: 36 N.J.R. 3622(a), 37 N.J.R. 646(a). In (a), inserted "and the Americans with Disabilities Act (ADA), Pub. L. 101-336, codified as 42 U.S.C. §§ 12101 et seq." in 3 and deleted "and the requirement for a personal interview" in 4. Amended by R.2017 d.209, effective December 4, 2017. See: 49 N.J.R. 1789(a), 49 N.J.R. 3729(a).