Renewal Form Requirements

HNWMedicaid Eligibility and Asset Protection Planning

  • 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  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

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