N.J. Admin. Code § 8:133-6.6

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:133-6.6 - Results of the Financial Entitlement Unit's review

(a) If the reviewing officer concludes after hearing all the evidence that the client is eligible for Interim Assistance, he or she shall within five calendar days of the review notify the client and his or her representative to that effect. The reviewing officer shall also advise the Financial Entitlement Unit's staff person who made the original eligibility determination that Interim Assistance must be provided to the client effective the date of his or her placement in a community setting.

(b) If the reviewing officer concludes after hearing all the evidence that the client is ineligible for Interim Assistance, he or she shall within five calendar days of the review notify the client, his or her representative and the Financial Entitlement Unit of the decision. The reviewing officer shall advise the client and his or her representative of the client's right to have the decision reviewed at the Division level.

(c) Based on the evidence presented the reviewing officer shall prepare a written report of his or her findings summarizing what transpired at the review. Copies of this report shall be provided to the client, his or her representative, the Financial Entitlement Unit, the Chief Executive Officer of the hospital, and to the Assistant Director, Office of Fiscal and Management Operations, within five calendar days of the review.

(d) The review and resulting decision by the reviewing officer shall be treated and recognized as the initial administrative decision of the client's claim for Interim Assistance.

N.J. Admin. Code § 8:133-6.6

Recodified from 10:38-6.6 54 N.J.R. 65(a), effective 1/3/2022