- If an ex parte renewal cannot be completed, the agency must provide beneficiaries with a renewal form and request information from the beneficiary.
- The renewal form must be pre-populated with the most recent, reliable and relevant information for beneficiaries whose eligibility is determined using methodologies based on modified adjusted gross income (MAGI)
- The renewal form may only require beneficiaries to provide information needed to determine eligibility
- Agencies must include clear instructions on completing the renewal form, the need to sign, and required timeframes for submission:
- MAGI CHIP, and BHP for Medicaid: At least 30 days
- Non-MAGI: Reasonable time frame (minimum 30 days recommended)
- Beneficiaries must be able to return the signed renewal form through all modes of submission available for submitting an application (i.e., mail, in-person, online or phone)
- Agencies cannot require an in-person interview as part of the renewal process when making a determination using MAGI-based methodologies.
To discuss your NJ Medicaid matter, please contact Fredrick P. Niemann, Esq. toll-free at (855) 376-5291 or email him at fniemann@hnlawfirm.com. Please ask us about our video conferencing or telephone consultations if you are unable to come to our office.
By Fredrick P. Niemann, Esq. of Hanlon Niemann & Wright, a Freehold Township, Monmouth County, NJ Medicaid Attorney