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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and UNITED HEALTHCARE COMMUNITY PLAN, Respondents-Respondents. … 1:36-3. 2 A-0593-17T4 General, of counsel; Jacqueline R. D'Alessandro, Deputy Attorney General, on the brief). Stradley …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and UNION COUNTY BOARD OF SOCIAL SERVICES, … 1:36-3. 2 A-0832-17T4 General, of counsel; Jacqueline R. D'Alessandro, Deputy Attorney General, on the brief). PER … behalf. Included with the affidavit was a spreadsheet compiled by counsel that P.R. said represented the purchases …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and BERGEN COUNTY BOARD OF SOCIAL SERVICES, … The application stated appellant's primary sources of income were social security and pension benefits. It also … regulations as requiring the BCBSS to obtain the requisite supplemental information for her. There is no …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES, and CAMDEN COUNTY BOARD OF SOCIAL SERVICES, … B. Mark argued the cause for appellant. Jacqueline R. D'Alessandro, Deputy Attorney General, argued the cause for … "to certain groups of medically needy persons whose income and/or resources exceeds the standards for the Medicaid …
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… the July 7, 2023 final agency decision of the Assistant Commissioner of the Division of Medical Assistance and … an incorrect reimbursement rate , did not sufficiently refute the County's evidence and noted appellant provided no … monthly income, as her pension and annuity income are deposited monthly into a qualified trust created consistent with …
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… Uma applied for Medicaid benefits in January 2016, the income limit for a family of four was $2,795 per month; the … "documents" to the office. The same log showed Uma visited the Board's office again in April 2016 to address … paystubs to verify [Peter's] wages" in 2016, but she credited Lesko's testimony that she "did not believe …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES, and MORRIS COUNTY BOARD OF SOCIAL SERVICES, … the Division identified M.Q.L.'s failure to provide income tax returns declaring the rental income, or documents … taken the position that J.F. has not met his burden of refuting the rebuttable presumption that assets were …
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… Petitioner-Appellant, v. NEW JERSEY DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL ASSISTANCE AND HEALTH … 1:36-3. 2 A-2446-20 General, of counsel; Jacqueline R. D’Alessandro, Deputy Attorney General, on the brief). PER … once it has been accepted into the Medicaid program it must comply with the federal Medicaid statutes and regulations." …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and HUDSON COUNTY BOARD OF SOCIAL SERVICES, … attorney issued a subpoena for the missing records to Comerica Bank (Comerica), the issuer of the Direct Express … system. The Director observed that the Direct Express website indicates that federal privacy laws prohibit government …
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… information prevented the county welfare agency (CWA) from completing a required eligibility determination. We affirm. … date of the letter forwarding the final agency decision to Future Care Consultants (FCC). 3 A-3898-17T4 In May 2017, … of the TD account and the ownership of the funds deposited into the account. The record does not support C.G.'s …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and ATLANTIC COUNTY BOARD OF SOCIAL SERVICES, … confirming the denial of benefits. On July 17, 2017, Future Care Consultants, the fiscal agent for Carneys Point, … However, this argument assumes Akerman possessed the requisite authority to request a hearing on P.H.'s behalf. The …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and ATLANTIC COUNTY BOARD OF SOCIAL SERVICES, … obtaining the information. We conclude that controlling law compels us to affirm. We review an agency's decision for the … "An administrative agency's decision will be upheld 'unless there is a clear showing that it is arbitrary, …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and UNION COUNTY BOARD OF SOCIAL SERVICES, … and the second on March 1, 2017, as to J.C.'s available income for pre-eligibility medical expenses (PEME). J.C.'s … all State Medicaid programs and issue "all necessary rules and regulations." Ibid. Under applicable state and …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and CAMDEN COUNTY BOARD OF SOCIAL SERVICES, … (CWA). The agency concluded that the CWA was unable to complete its eligibility determination because of R.A.'s … our standard of review and general governing legal principles. This court's review of DMAHS's determination is …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and MORRIS COUNTY BOARD OF SOCIAL SERVICES, … (1) Verification of Address – Utility Bill; (2) a completed PA-1G-NJR2 forms for September 2014, and September … shall be considered in the determination of eligibility, unless such resources are specifically excluded under the …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES, Respondent-Respondent, and HUDSON COUNTY BOARD OF … representative and attorney–in-fact.1 On August 6, 2015, Future Care Consultants (Future Care), on behalf of E.T., … with the authority granted by N.J.S.A. 30:4D-7 to the Commissioner of the Department of Human Services. The …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and CAMDEN COUNTY BOARD OF SOCIAL SERVICES, … eligibility for Medicaid. The Director reversed, finding no competent evidence to support C.J.'s testimony about the … access to the funds (that is, an "or" account) regardless of their source. When the individual's access to the …
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… C.C., Appellant, v. DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES, Respondent. ______________________________ … without her consent. We affirm. C.C. was involuntarily committed to the care of TPH after being diagnosed with … Director is supported by sufficient credible and unrefuted evidence. In addition, TPH followed the DMHAS …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and HUDSON COUNTY BOARD OF SOCIAL SERVICES, … Andrew M. Epstein, on the brief). Jacqueline R. D'Alessandro, Deputy Attorney General, argued the cause for … is incapable of leaving the house without someone accompanying and assisting her, and is incapable of traveling …
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… v. DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES and ATLANTIC COUNTY BOARD OF SOCIAL SERVICES, … would be denied if the requested information was not forthcoming, and a new application would have to be submitted. On … and the DAR "should have been able to provide the requisite verifications . . . ." On June 14, 2018, the Division …