N.J. Admin. Code § 10:71-2.5

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

Section 10:71-2.5 - Application policy and procedure

(a) Application for Medicaid Only may be taken by the CWA where the applicant resides or is institutionalized at the time of making application.

(b) A legally appointed guardian shall always be recognized as an authorized agent to initiate an application to establish eligibility for Medicaid Only.

(c) In Medicaid Only, an individual who wishes to apply may be confined at home or at an institution, or may be subject to a critical illness or injury which impedes action on his or her own behalf. Consequently, the CWA shall accept any one of the following, in order of priority as listed, as an authorized agent for the purpose of initiating an application:

1. A relative by blood or marriage;

2. A staff member of a public or private welfare agency of which the person is a client, who has been designated by the agency to so act;

3. A physician or attorney of whom the person is respectively a patient or client; or

4. A staff member of an institution or facility in which a person is receiving care, who has been designated by the institutional facility to so act.

N.J. Admin. Code § 10:71-2.5

Amended by R.1995 d.651, effective 12/18/1995.
See: 27 N.J.R. 3543(a), 27 N.J.R. 5046(a).
Amended by R.2000 d.415, effective 10/16/2000.
See: 32 N.J.R. 2565(a), 32 N.J.R. 3844(a).
In (a) and (c), substituted "CBOSS" for "CWA".
Amended by R.2012 d.025, effective 2/6/2012.
See: 43 N.J.R. 804(a), 44 N.J.R. 230(a).
In (a) and the introductory paragraph of (c), substituted "CWA" for "CBOSS"; and in (c)3, inserted "or" at the end.