N.J. Admin. Code § 10:79-2.1

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

Section 10:79-2.1 - Application

(a) Applications for NJ FamilyCare-Children's Program benefits can be obtained from various locations by calling 1-800-701-0710 or downloaded and printed, free of charge from www.njfamilycare.org. The application can also be completed and filed online at www.njfamilycare.org. Applications for Plan A benefits can be forwarded to the CWA in the county in which the applicant resides or to any other eligibility determination agencies designated by the Division of Medical Assistance and Health Services. Applications for Plan B, C and D shall be forwarded to PO Box 9802, Trenton, N.J. 08650-9802. Applications for NJ FamilyCare-Children's Program can be mailed to the CWA or to the eligibility determination agency. The application, as well as any addenda to that form as prescribed by the Division of Medical Assistance and Health Services should be completed by the authorized agent of the child; or by the child if the child is an emancipated individual.

(b) The eligibility determination agency, under policies and procedures established by the Division of Medical Assistance and Health Services, has the direct responsibility in the application process to:

1. Inform the authorized agent or applicants of the purpose of and the eligibility requirements for the NJ FamilyCare-Children's Program, including their rights and responsibilities;

2. Receive applications and review them for completeness, consistency, and reasonableness;

3. Assist the authorized agent or program applicant in exploring eligibility for program benefits;

4. Make known to the authorized agent or program applicant the appropriate resources and services both within the agency and in the community; and

5. Assure the prompt and accurate submission of eligibility data to the NJ FamilyCare-Children's Program Eligibility File for eligible children and prompt notification to the authorized agent or ineligible program applicant of the reason for their ineligibility.

(c) As part of the application process, an authorized agent or applicant for NJ FamilyCare-Children's Program has the responsibility to:

1. Complete, with the assistance of the eligibility determination agency as required, any forms required as part of the application process; and

2. Assist the eligibility determination agency in securing evidence that verifies the statements regarding eligibility.

N.J. Admin. Code § 10:79-2.1

Amended by R.1998 d.154, effective 2/27/1998 (operative March 1, 1998; to expire August 31, 1998).
See: 30 N.J.R. 1060(a).
In (a), inserted a third sentence.
Adopted concurrent proposal, R.1998 d.487, effective 8/28/1998.
See: 30 N.J.R. 1060(a), 30 N.J.R. 3519(a).
Readopted the provisions of R.1998 d.154 without change.
Amended by R.1999 d.211, effective 7/6/1999 (operative August 1, 1999).
See: 31 N.J.R. 998(a), 31 N.J.R. 1806(a), 31 N.J.R. 2879(b).
In (a), inserted a reference to Plan D in the introductory paragraph.
Amended by R.2004 d.42, effective 1/20/2004.
See: 35 N.J.R. 3802(a), 36 N.J.R. 572(b).
In (a), inserted the third sentence in the introductory paragraph and deleted 1 and 2; in (b) and (c), substituted references to authorized agents for references to sponsoring adults throughout.
Amended by R.2009 d.232, effective 7/20/2009.
See: 41 N.J.R. 945(a), 41 N.J.R. 2793(a).
In (a), inserted "or downloaded and printed, free of charge from www.njfamilycare.org", inserted the second sentence, substituted "CWA" for "CBOSS" twice and "9802" for "4818" twice, and inserted a comma following "Services" and the final occurrence of "application".