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N.J.A.C. 10:71-3.1 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 71. MEDICAID ONLY > SUBCHAPTER 3. ELIGIBILITY FACTORS § 10:71-3.1 General provisions (a) Eligibility must be established in relation to each legal requirement to provide a valid basis for granting or denying medical assistance. (b) The applicant's statements regarding his/her eligibility, as set forth in the application form, are evidence. The statements must be consistent and meet prudent tests of credibility. Incomplete or questionable statements shall be supplemented and substantiated by corroborative evidence from other pertinent sources, either documentary or nondocumentary: 1. Documentary sources of evidence present factual information recorded at some previous date by a disinterested party and filed as part of a record. Examples: certificates, legal papers, insurance policies, licenses, bills, receipts, notices of RSDI benefits, and so forth. 2. Nondocumentary sources of evidence are factual oral statements which appear to be reliable by individuals, based on the observation and personal knowledge of applicant's circumstances. Annotations Notes Chapter Notes Case Notes Comparison of Medicaid monthly income eligibility limits to those for the Medical Assistance to the Aged program; Medicaid income eligibility depends on participants' living arrangements (citing former N.J.A.C. 10:94-4.33 Table A). Texter v. Dept. of Human Services, 88 N.J. 376, 443 A.2d 178 (1982). Transfer penalty of 646 days was properly applied to the Medicaid qualification of an applicant based on the applicant's conduct in gifting, to her grandson, the net proceeds received by her as a result of the sale of her personal residence. The agency had to utilize the value of the home as assessed by the city to establish FMV because no other information or documentation bearing on the proper valuation of the home was provided by the applicant or her representative. I.B. v. Camden Cnty. Bd. of Soc. Serv., OAL DKT. NO. HMA 05905-23, 2024 N.J. AGEN LEXIS 192, Initial Decision (February 23, 2024). Interpretation of regulations that was urged by an applicant for Nursing Home Medicaid Claimant's as imposing the burden to establish eligibility therefor upon a country social services board was contrary to the language and import of N.J.A.C. 10:71-2.2 and N.J.A.C. 10:71-3.1(b), both of which require the applicant to substantiate claims of eligibility with corroborative evidence from pertinent sources. L.K. v. Camden Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 17513-16, 2017 N.J. AGEN LEXIS 551, Initial Decision (July 11, 2017).