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N.J.A.C. 10:69-2.15 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 § 10:69-2.15 Notice of approval, disapproval, and pending status and other information to client (a) If immediate need is not apparent and a decision of approval or disapproval is not reached within 30 days of application, the CSSA shall notify the applicant in writing of this fact and the reason for the delay. If the lack of decision is due to circumstances within the control and knowledge of the applicant, the CSSA shall remind the applicant of the steps he or she must take to enable the CSSA to make a decision. This notice shall include a sentence in Spanish cautioning the client that it relates to his or her eligibility for AFDC-related Medicaid and if he or she does not understand the notice he or she should contact the CSSA. Translations to languages other than Spanish may be prepared based on knowledge of the population served by the CSSA. (b) When a decision is reached, the applicant shall be notified in writing of this decision (approved or disapproved). (c) If the application is denied, the notice of disapproval shall meet the requirements in N.J.A.C. 10:69-6. In addition, for an applicant whose application has been denied for any reason other than death, the notification shall include: 1. An explicit statement of the reason for ineligibility; 2. Information about requesting a fair hearing to appeal the decision; 3. Advice concerning the family's right to reapply whenever they believe that their circumstances have changed such that the stated reasons for ineligibility no longer exist; and 4. Information about the Supplemental Nutrition Assistance Program (SNAP) and other potentially available services. (d) If the application is approved, the client shall be advised in writing: 1. Of the effective date of Medicaid eligibility; 2. That an advance statement shall be sent at least 10 calendar days prior to implementation of any adverse decision affecting future eligibility; 3. Of the client's right to a fair hearing; 4. Of the client's rights and responsibilities under the program for which he or she has been approved (see N.J.A.C. 10:69-2.2(a)3 and 2.3(a)); 5. Of his or her obligation to report all relevant changes in circumstances, including but not limited to, family size, income, employment, and change in parent-person status; 6. Of the use of the Health Benefits Identification (HBID) Card and/or Health Benefits Emergency Services Letter (see N.J.A.C. 10:49-2.15); and