N.J. Admin. Code § 10:70-4.1

Current through Register Vol. 56, No. 9, May 6, 2024

Section 10:70-4.1 - Medically Needy Income Levels

(a) Income eligibility for the Medically Needy Program may be established by two methods. If the countable income of the budget unit (as determined in this subchapter) is equal to or less than the Medically Needy Income Level (MNIL) appropriate for the budget unit size, income eligibility is established and the eligible persons are entitled to Medically Needy Program payment for covered services. For cases in which the countable income of the budget unit exceeds the appropriate MNIL, income eligibility may only be established through medical spend-down (see N.J.A.C. 10:70-6 ).

1. The monthly MNIL for budget units consisting of two to 10 persons shall be based on the AFDC allowance standards (as set forth at 10:69-10.3 ). The allowance standard for the eligible unit size corresponding to the budget unit size will be multiplied by 1.333. The result of this computation shall be multiplied by 12 and the result rounded up to the next nearest $ 100.00. After rounding, the amount shall be divided by 12. Any cents resulting from this calculation are dropped and the remainder is the monthly MNIL.

2. To establish the monthly MNIL for budget units of more than 10 persons, the calculation in (a)1 above shall be applied to the AFDC increment applicable for each additional person in eligible units of more than 10 persons (see 10:69-10.3 ). The resulting amount for each additional budget unit member shall be added to the monthly MNIL for 10 persons.

3. For budget units of one person, the AFDC allowance standard for two persons shall be reduced by the increment for each additional person applicable to eligible units of more than 10 persons (see 10:69-10.3 ). The result of this computation shall be calculated as in (a)1 above. The resulting amount is the monthly MNIL for one person.

N.J. Admin. Code § 10:70-4.1

Amended by R.2006 d.364, effective 10/16/2006.
See: 38 N.J.R. 2368(a), 38 N.J.R. 4480(c).
In (a)1, (a)2, and (a)3, deleted "-C and -F" following "AFDC", substituted "10" for "ten", and updated N.J.A.C. references; in (a)2, substituted "10" for "12"; and in (a)2 and (a)3, substituted "in (a)1 above" for "in 1. above".