N.J. Admin. Code § 10:79-2.5

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

Section 10:79-2.5 - Date of initial eligibility

(a) Eligibility under NJ FamilyCare-Children's Program-Plan A is effective back to the first day of the month of application provided that all eligibility requirements are met in that month. If eligibility requirements are not met during the month of application, a future eligibility date will be established as of the first day of the month the beneficiary meets all eligibility requirements.

(b) Eligibility under Plan B, C, or D is established with the first date of enrollment with an MCO and payment of applicable premiums (see N.J.A.C. 10:79-6.7).

1. Exception: For newborns, as indicated in N.J.A.C. 10:79-2.4, there is eligibility for fee-for-service Plan C and Plan D services from the date of birth until enrollment of the child into the MCO, if all the requirements of N.J.A.C. 10:79-2.4 are met.

N.J. Admin. Code § 10:79-2.5

Amended by 49 N.J.R. 203(a), effective 1/17/2017