Incorrect processing of Medicaid application results in remand to DFCS.
Docket Number: ***** , Decision Date: November 12, 2013
Attachment: Click here to download the decision.
The Division of Family and Children Services (DFCS) failed to determine Petitioner’s eligibility for the Independent Care Waiver Program (ICWP), the Medicaid class of assistance for which she applied. Instead, DFCS erroneously processed a QI-1 Medicaid application on her behalf, before issuing a denial. DFCS must process Petitioner’s original application under the correct class of assistance. Any benefits awarded must be based on the date of her original application.