
Between April 2, 2018 and April 11, 2018, the New Jersey Superior Court, Appellate Division, issued six separate opinions involving Medicaid. While this is unusual, what is even more striking is that all six cases involve the same appellate court panel, and the same attorney representing each of the appellants. In these cases, the law firm of Schutjer Bogar LLC filed appeals on behalf of various entities and individuals, including Future Care Consultants, Senior Planning Services, and Dynamic Healthcare. Each of the cases involves the untimely appeal of a Medicaid denial. And in each of the appeals, Medicaid’s decision was affirmed by the Appellate Division.
In the E.M. v. Division of Medical Assistance and Health Services (DMAHS) case, the court found that the Medicaid applicant was improperly attempting to argue the merits of two prior Medicaid denials, after the time to appeal those denials had expired, through the appeal of a third Medicaid denial. In D.G. v. DMAHS, the court affirmed Medicaid’s decision to reject the late appeal of an incapacitated person following her death. In S.H. v. DMAHS, the court denied an untimely request for a Medicaid hardship waiver. In J.C. v. DMAHS, the court held that Medicaid could reject a request for a Fair Hearing filed without the applicant’s written authorization. In the April 5, 2018 decision of A.S. v. DMAHS, the court rejected a late appeal as “grossly out of time”; and in the April 10, 2018 decision also captioned A.S. v. DMAHS, the court found that Medicaid properly rejected a request for a fair hearing filed nine months late.
All in all, it has been a good month for Medicaid in the Appellate Division.
My blog post for the E.M. v DMAHS case can be accessed here – Request For Retroactive Medicaid Benefits Denied: Appeal of 3rd Medicaid Denial Does Not Reopen 2 Prior Medicaid Denials
The blog post for D.G. v. DMAHS can be accessed here – Incapacitated Medicaid Applicant Barred From Pursuing A Late Appeal, Despite Death Of Her Guardian
The blog post for S.H. v. DMAHS can be accessed here – Request For Medicaid Hardship Waiver Denied As Untimely
The blog post for J.C. v. DMAHS can be accessed here – Appeals Court Affirms Medicaid’s Rejection Of Fair Hearing Request Filed Without Applicant’s Written Authorization
The blog post for the April 5, 2018 decision of A.S. v. DMAHS can be accessed here – Appeal Of Medicaid Denial Rejected As “Grossly Out Of Time;” Counsel’s Argument To The Contrary Is “Spurious”
The blog post for the April 10, 2018 decision of A.S. v. DMAHS can be accessed here – Appeals Court Finds That Medicaid Properly Rejected A Request For Medicaid Fair Hearing Filed Nine Months Late
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