N.J. Admin. Code § 10:69-10.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:69-10.5 - Eligible unit; AFDC-C- and -F related Medicaid program

(a) The AFDC-C related Medicaid program shall include:

1. The natural or adoptive parent(s) of one or more of the eligible child(ren) unless the AFDC-C-related Medicaid program beneficiary parent marries on or after October 1, 1992, and is excluded from AFDC-related Medicaid program eligibility in accordance with the provisions of N.J.A.C. 10:69-10.33;

2. The stepparent (the spouse of a natural or adoptive parent) of the children for whom AFDC-related Medicaid program is sought may be included in the eligible unit if the provisions of 10:69-2.9 apply. If a non-needy stepparent marries the AFDC-C related Medicaid program beneficiary parent on or after October 1, 1992, and the provisions of 10:69-2.11 apply, the stepparent, the stepparent's natural or adoptive children as well as the natural or adoptive parent of the AFDC-C related Medicaid program beneficiary children are excluded from the eligible unit;

3. An enumerated parent-person and his or her spouse, when such individuals claim to be financially eligible; and

4. When the child(ren) lives with a parent-person who is not himself or herself applying for AFDC-related Medicaid program and a natural or adoptive parent is not in the home, only the eligible child(ren) comprises the eligible unit.

(b) The AFDC-F related Medicaid program shall include the natural or adoptive parents with whom the eligible child(ren) lives when both parents are in the home, are not incapacitated and the parent who is the principal earner meets the Federal definition of unemployment.

(c) A child not meeting AFDC-related Medicaid program age requirements is not eligible for AFDC-C or -F and shall not be included in the eligible unit. For determination of Medicaid eligibility for such children under the age of 21, see N.J.A.C. 10:69-4.

(d) When an applicant for AFDC-C-related Medicaid program must wait for incapacity to be established, eligibility shall be considered for the AFDC-F-related Medicaid program.

N.J. Admin. Code § 10:69-10.5

Amended by 49 N.J.R. 3729(a), effective 12/4/2017