A recent court case out of New Jersey, C.F.J. v. Division of Med. Assistance & Health Servs., highlights the duties of a Medicaid office to help applicants obtain required information. Although this case is non-binding, it is a good reminder of how and when a Medicaid office can help applicants with their documents.
Here, the Medicaid applicant, C.F.J., entered into a nursing home and a Medicaid application was submitted on her behalf. After review of her application, the local Medicaid office requested certain documentation from her, including Direct Express debit card statements from August 2009 to August 2014. C.F.J did not remit those statements, and her application was subsequently denied. C.F.J. once again submitted an application, the Direct Express documents were once again requested and unremitted, and her application was denied.