Page 24

Page 2 of 4 § 10:72-2.3 Verification requirements (e) In the absence of credible verification of all eligibility factors, eligibility for the Medicaid program may not be established. History HISTORY: Emergency Adoption, R.1988 d.96, effective March 20, 1988. See: 20 N.J.R. 548(a). Added (a)2; renumbered all (a)2.-7. as 3.-8. and added text to (a)8. "pregnant women and children", "for the aged, blind and disabled, resources must be verified". Readoption of Concurrent Proposal, R.1988 d.212, effective May 16, 1988. See: 20 N.J.R. 548(a), 20 N.J.R. 1103(a). Amended by R.1998 d.116, effective January 30, 1998 (operative February 1, 1998; to expire July 31, 1998). See: 30 N.J.R. 713(a). Adopted concurrent proposal, R.1998 d.426, effective July 24, 1998. See: 30 N.J.R. 713(a), 30 N.J.R. 3034(a). Readopted provisions of R.1998 d.116 without change. Annotations Notes Chapter Notes Case Notes ALJ concluded that a county acted lawfully when it denied a Medicaid application made by an applicant on the grounds that the applicant had failed to provide required documentation. No proof was offered to substantiate applicant's claim that his due process rights had been violated, the county appropriately asked for additional documentation, the county had no obligation to acquire financial documentation reflecting the applicant's assets where such documentation was from applicant's own bank, and the applicant was not entitled to a de novo hearing as he already had had an appropriate hearing. R.J. v. Gloucester Cnty. Bd. of Soc. Serv., OAL DKT. NO. HMA 03514-23, 2024 N.J. AGEN LEXIS 190, Initial Decision (February 1, 2024). ALJ rejected an agency determination denying Medicaid benefits to an applicant, which denial was based on the agency's finding that the applicant had failed to provide required verifications. The evidence tended to show that the applicant's representative in fact provided most of the requested documents prior to the deadline and timely requested clarification of some of the requested items, which clarification was not timely provided. Nor was the agency's claim that the documents should have been included in tabbed volumes sufficient to justify the agency's denial. S.I.K. v. Passaic Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 03882-17, 2017 N.J. AGEN LEXIS 703, Initial Decision (September 8, 2017). Agency should not have denied an application for Medicaid Only filed by a daughter on behalf of her elderly mother because the daughter showed that she provided most of the requested documents in a timely manner, that