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Page 2 of 3 § 10:71-2.16 Retroactive eligibility for Medicaid In (d), substituted "a Medical Assistance Customer Center" for "the Medicaid District Office." Annotations Notes Chapter Notes Case Notes Medicaid applicant who had experienced significant problems in submitting her application for benefits won eligibility date that was earlier than that which was granted by the agency because that earlier date would have been available if the application that was submitted by the applicant had been acknowledged by the agency. R.D. v. Camden Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 13092-17, 2017 N.J. AGEN LEXIS 869, Initial Decision (December 20, 2017). Medicaid applicant was entitled to a modified eligibility date because even though the agency claimed not to have received an application submitted on November 7, 2016, the evidence established that such an application in fact was submitted. Since the agency conceded that the applicant was shown to have been eligible for Medicaid on the date of the application, eligibility retroactive to October 1, 2016 was appropriately granted. R.D. v. Camden Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 13092-17, 2017 N.J. AGEN LEXIS 870, Initial Decision (November 14, 2017). Nursing home resident's claim for "retroactive Medicaid benefits" was not filed within six months of the date of the application for Medicaid and thus was properly denied as untimely. E.B. v. Essex Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 19196-15, 2016 N.J. AGEN LEXIS 559, Initial Decision (June 30, 2016). County board of social services did not comply with required deadlines in governing regulations when it considered whether a petitioner's eligibility for "Medicaid Only" Institutional Medicaid, with the result that the eligibility date of July 1, 2015 that was granted by the board was incorrect and the petitioner was entitled to an eligibility date of May 1, 2015. Among other failures, the board did not comply with its duty to write to the petitioner and explain the reasons for delay and failed to inform the petitioner of the need for a Qualified Income Trust (QIT) in a timely manner. Because the manner in which the board processed the application was improper, an earlier eligibility date was appropriately granted. J.E., Petitioner, v. Passaic Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 15778-15, 2016 N.J. AGEN LEXIS 120, Initial Decision (March 10, 2016). Third application for Medicaid eligibility filed by a representative of an elderly nursing home resident who was suffering from dementia was properly granted retroactive to a date that was three months prior to the date of filing in accord with governing law over claims that it should have been retroactive to the date on which the resident had been admitted to the nursing home because there was no causal relationship between the resident being admitted to the nursing home and his access to countable resources for establishing eligibility. E.M. v. Passaic Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 13935-15, 2016 N.J. AGEN LEXIS 49, Initial Decision (February 10, 2016). Applicant, through his widow, failed to prove by a preponderance of the credible evidence that there were grounds for retroactive Medicaid in excess of the three months that she was already awarded by the agency under N.J.A.C. 10:71-2.16. Although the widow argued that she was in enormous debt since the death of her husband and that she needed assistance, there were no grounds for additional Medicaid Only retroactive payments, and there was no provision for any retroactive application under the Medically Needy program. J.O. v. Bergen County Bd. of Social Serv., OAL DKT. NO. HMA05530-14, 2014 N.J. AGEN LEXIS 594, Initial Decision (November 5, 2014).