- For MAGI Medicaid and CHIP beneficiaries whose eligibility has been terminated at renewal, the agency must reconsider the individual’s eligibility without requiring the individual to fill out a new application if the renewal form and/or requested information is returned within 90 days after the date of termination. States may adopt a longer reconsideration period.
- A renewal form returned within the reconsideration period serves as an application, which means the agency must make a determination consistent with application timeliness standards.
- Effective dates of coverage for those determined eligible during the reconsideration period are:
- Medicaid: Date renewal was submitted or first day of the month the renewal form was returned consistent with the state’s Medicaid state plan
- Up to three months of retroactive coverage is available if the individual received Medicaid services following their termination and met Medicaid eligibility requirements when services were received
- Medicaid: Date renewal was submitted or first day of the month the renewal form was returned consistent with the state’s Medicaid state plan
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