N.J. Admin. Code § 10:167C-1.23

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:167C-1.23 - Eligible Senior Gold beneficiary

(a) An applicant shall be determined to be eligible for the Program only if physically present in New Jersey at the time of application and utilization, in accordance with the provisions of N.J.A.C. 10:167B.

1. Benefits shall not be payable for patients in nursing facilities, hospitals or special hospitals by the Program during any period recipients are covered for drug benefits by Medicaid, Medicare, Blue Cross and Blue Shield of New Jersey, Inc., or other insurance benefits or if such benefits are covered in the daily rate of the facility.