N.J. Admin. Code § 10:79-2.6

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

Section 10:79-2.6 - Retroactive eligibility-Plan A only

(a) Retroactive eligibility is available to cover unpaid medical bills for up to three months prior to the date of application if the requirements are met in all or any of the three months.

(b) If the applicant for NJ FamilyCare-Children's Program-Plan A benefits has unpaid medical bills from DMAHS-enrolled providers for services rendered during the retroactive eligibility period, the eligibility determination agency shall assist the applicant with applying for payment of unpaid medical bills.

(c) The Statewide eligibility determination agency and the CWA shall be responsible for the determination of retroactive eligibility for NJ Family Care-Children's Program-Plan A.

(d) There is no retroactive eligibility coverage for children eligible for NJ FamilyCare-Children's Program-Plan B, C or D.

N.J. Admin. Code § 10:79-2.6

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