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Page 4 of 4 § 10:72-2.3 Verification requirements fact resided with her and two children. The recipient's testimony relative to where the absent parent was living was unworthy of belief in the face of other evidence that established that the recipient in fact currently was in a romantic relationship with the absent parent and that the latter's last known address was that at which the recipient currently resided. Nor had the recipient provided the agency with adequate information establishing that the absent parent in fact resided elsewhere. K.B. v. Gloucester Cty. Bd. of Social Servs., OAL DKT. NO. HMA 02927-15, 2015 N.J. AGEN LEXIS 233, Initial Decision (April 30, 2015). Nursing home resident's application for Medicaid benefits was not properly denied on the basis claimed by the agency, which was that the resident had not provided sufficient verification of factors related to eligibility, including sources of income and resources. Though the agency claimed that there were three items that had not been provided and that the denial was based on that omission, the resident in fact demonstrated that all documents with the exception of one account verification had been provided to the agency and that telephone calls to the agency to confirm that the documents as provided were sufficient were not returned. On these facts, the agency's demand, on May 23, 2014, for additional documentation after it had had no contact with the resident for five months and its cognate refusal to respond to the resident's request for additional time to provide that last item was arbitrary and unreasonable. R.D. v. Camden Cty. Bd. of Social Servs., OAL DKT. NO. HMA 9056-14, 2015 N.J. AGEN LEXIS 127, Initial Decision (January 29, 2015). An Administrative Law Judge (ALJ) concluded that a county board of social services acted properly when it denied an application for Medicaid eligibility made by an applicant on a finding that the applicant had failed to provide the required verification. The applicant admitted that there were several outstanding requests for documents to which she had not responded. Because the board was required by N.J.A.C. 10:72-2.3(a) and N.J.A.C. 10:71-2.9 to verify all factors related to eligibility, including sources of income and resources, the applicant's conceded failure to comply with those requests per N.J.A.C. 10:71-2.2(e)(1) and N.J.A.C. 10:71-3.1(b) to provide the requested items foreclosed a determination that she was eligible for Medicaid. M.D. v. Camden Cnty. Bd. of Social Servs., OAL DKT. NO. HMA 1459-14, AGENCY DKT. NO. 410052818-01, 2014 N.J. AGEN LEXIS 273, Initial Decision (May 22, 2014). NEW JERSEY ADMINISTRATIVE CODE Copyright © 2025 by the New Jersey Office of Administrative Law End of Document