N.J. Admin. Code § 10:69-7.1

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

Section 10:69-7.1 - Purpose of case records

(a) The case record is the official file of forms, chronological narrative, correspondence, and other documents pertinent to the application and eligibility of the client. It constitutes a complete record of the CWA's decisions and actions about eligibility for each case. Since it is the record of information on which decisions to grant, deny, or continue Medicaid coverage in accordance with law and regulations are made, it is mandatory that a case record be established for every individual who applies for and/or receives Medicaid.

(b) The case record shall be kept absolutely confidential.

(c) The case record also serves:

1. To provide the information necessary for action in conformity with all relevant legal requirements in the CWA's relationship with the client;

2. To provide an adequate and accurate source of information for the DMAHS and Federal staff for statistical studies or other research purposes that will be statistical in nature and include no beneficiary's names; and

3. As an essential tool in supervision.

N.J. Admin. Code § 10:69-7.1

Amended by 49 N.J.R. 3729(a), effective 12/4/2017