N.J. Admin. Code § 10:49-2.17
Current through Register Vol. 56, No. 11, June 3, 2024
Section 10:49-2.17 - Medicaid application(a) If a person has not applied for benefits, is unable to pay for services provided, and appears to meet the requirements for eligibility for the New Jersey Medicaid or NJ FamilyCare program, the provider shall encourage the person, or his or her representative, to apply for benefits: 1. To the CWA for programs, such as AFDC-Related Medicaid; Medicaid Only; New Jersey Care . . . Special Medicaid programs for pregnant women, children, and the aged, blind, or disabled; or for Medically Needy.2. To the Social Security Administration for Supplemental Security Income benefits for the aged, blind, and disabled; or3. In certain cases, to the New Jersey Division of Youth and Family Services, Department of Children and Families.(b) If it is not known which agency is responsible for determining eligibility or which program might be applicable, the MACC will be able to provide guidance in this matter (for MACC Directory, see Appendix N.J.A.C. 10:49).(c) All providers are encouraged to refer pregnant women who may be eligible for Medicaid or NJ FamilyCare to a provider authorized to determine presumptive eligibility. The names and addresses of these providers may be obtained by calling the HOT LINE at 1-800-328-3838.(d) Medicaid applications are accepted by the State Health Benefits Coordinator.(e) Applications for NJ FamilyCare can be downloaded free of charge and mailed to the Division or can be completed and submitted on the NJ FamilyCare website: http://www.njfamilycare.org.N.J. Admin. Code § 10:49-2.17
Amended by R.1997 d.354, effective 9/2/1997.
See: 29 N.J.R. 2512(a), 29 N.J.R. 3856(a).
Recodified from N.J.A.C 10:49-2.16 by R.1998 d.116, effective 1/30/1998 (operative February 1, 1998; to expire July 31, 1998).
See: 30 N.J.R. 713(a).
Adopted concurrent proposal, R.1998 d.426, effective 7/24/1998.
See: 30 N.J.R. 713(a), 30 N.J.R. 3034(a).
Readopted provisions of R.1998 d.116 without change.
Amended by R.2003 d.82, effective 2/18/2003.
See: 34 N.J.R. 2650(a), 35 N.J.R. 1118(a).
Amended by R.2008 d.230, effective 8/4/2008.
See: 40 N.J.R. 984(a), 40 N.J.R. 4531(a).
In the introductory paragraph of (a) and in (c), inserted "or NJ FamilyCare"; in (a)1, substituted "CWA" for "CBOSS" and inserted a comma following the first occurrence of "programs"; in (a)3, substituted "Children and Families" for 'Human Services"; and added (d) and (e).