N.J. Admin. Code § 10:69-2.18

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:69-2.18 - Verification

(a) Verification of facts essential to eligibility is required in all segments of the AFDC-related Medicaid program (see N.J.A.C. 10:69-3.2 through 3.7). The eligibility worker shall verify all income.

1. The CWA shall try to verify all necessary information within the required time but shall not penalize the client if the CWA, through no fault of the client, is unable to obtain documentation.

(b) The CWA shall verify the age of all children for whom application is made and their relationship to the natural or adoptive parent(s) or parent-person(s) with whom they live (see N.J.A.C. 10:69-3.2 through 3.7).

(c) The CWA shall verify the deprivation factor in AFDC-C-related Medicaid.

1. The death of the parent(s) shall be verified.

2. Incapacity shall be validated through the medical review team's action expressed in Form PA-8.

3. Continued absence shall be verified in accordance with criteria in N.J.A.C. 10:69-3.

(d) The CWA shall verify school attendance in a school, college, training, or vocational program of dependent children ages 16 to 19 at the time of application as an eligibility criterion of AFDC-related Medicaid (see N.J.A.C. 10:69-10.5(a) and 10.9).

(e) The CWA shall verify the client's county of residence, whether temporary or permanent (see N.J.A.C. 10:69-3.23) .

(f) Earnings may be verified from voucher records or statements in writing submitted by the employed person, subject to additional verification as required by this chapter.

(g) Subsequent to the initial application, verification is required for only those factors of eligibility that are subject to change or for those factors for which the original verification has become questionable.

N.J. Admin. Code § 10:69-2.18

Amended by 49 N.J.R. 3729(a), effective 12/4/2017