N.J. Admin. Code § 10:69-3.13

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:69-3.13 - Age requirements

(a) To be considered of eligible age, a child in AFDC-related Medicaid must be under age 18, or under age 19 and a full-time student in a secondary school, or in the equivalent level of vocational or technical training, and is reasonably expected to complete the program before reaching age 19. Program completion is defined as the day of ceremonial graduation. See N.J.A.C. 10:69-10.9 for definitions regarding school attendance.

1. When any school or course of training involves attendance during an academic year, a child shall be considered eligible during the summer months when he or she has been accepted for admission in the fall. He or she shall be considered eligible during regular vacation periods unless the educational program has been completed or unless there is verification that the child does not attend or is not acceptable to reenter the program.

(b) A child between 18 and 21 years of age residing with an AFDC-related Medicaid beneficiary family who, except for age, would be eligible for inclusion in the grant, may be eligible for Medicaid Special (see N.J.A.C. 10:69-4 ).

(c) In all segments, when the year of birth can be determined but not the month, July 1 shall be designated to be the birth date. When the month can be determined but not the date, the child shall be eligible until the end of that month.

(d) A beneficiary child cannot be included in the AFDC-related Medicaid eligibility unit in the month after the month in which he or she attains the age when he or she is no longer eligible. Furthermore, a child who attains such age on the first day of the month is not considered to be of eligible age during that month. Additionally, the family ceases to be eligible when the youngest child is no longer of eligible age.

(e) The CWA shall establish and maintain appropriate administrative controls in all AFDC-related Medicaid cases, identifying those members of the eligible unit who may be rendered ineligible because of age. Specifically in this regard, agency controls shall provide advance identification of children attaining age 18 and/or 19, as appropriate for possible referral for general assistance. Parents approaching age 65 should be alerted to the Supplemental Security Income Program.

N.J. Admin. Code § 10:69-3.13

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