A New Jersey appeals court rules that the state properly denied benefits to a Medicaid applicant who did not provide all the required financial information, even though the applicant's attorney-in-fact claimed it did not receive notice. E.T. v. Division of Medical Assistance and Health Services (N.J. Super. Ct., App. Div., No. A-0403-16T4, Nov. 20, 2017).
E.T. moved into a nursing home, and his attorney-in-fact, Future Care Consultants (FCC), filed a Medicaid application on his behalf on August 6, 2015. The state requested additional information in two different notices, but FCC did not receive one of the notices, so it did not submit all the necessary verifications. FCC submitted a second application for benefits on September 17, 2015.
The state determined that the September application was a part of the August application and denied E.T. benefits for failure to supply the required financial verifications. E.T. appealed, arguing that the state didn't provide proper notification.
The New Jersey Superior Court, Appellate Division, affirms, holding that the state properly denied benefits. According to the court, evidence shows that the state sent the notice to E.T. The court rules that FCC was aware of the notice and the information requested before the deadline, but did not provide the verifications.
For the full text of this decision, go to: https://www.njcourts.gov/attorneys/assets/opinions/appellate/unpublished/a0403-16.pdf
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