N.J. Admin. Code § 10:79-8.5

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

Section 10:79-8.5 - Responsibilities of the Division of Medical Assistance and Health Services

(a) Upon receipt of a properly completed application from the approved presumptive eligibility determination entity, Division staff shall:

1. Assign a presumptive eligibility number.

i. If the income level of the family indicates eligibility for NJ FamilyCare-Children's Program-Plans B, C or D and the beneficiary was previously terminated for non-payment of premiums, a presumptive eligibility number shall not be assigned until past due premiums are paid in full;

2. Create an eligibility record on the Medicaid Eligibility File;

3. Issue a Health Benefits Identification (HBID) Card; and

4. Notify the approved presumptive eligibility determination entity and the appropriate county welfare agency or Statewide eligibility determination agency of the presumptive eligibility identification number assigned to the beneficiary.

N.J. Admin. Code § 10:79-8.5

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), substituted "certification" for "certificate" in the introductory paragraph and rewrote 4.
Amended by R.2009 d.232, effective 7/20/2009.
See: 41 N.J.R. 945(a), 41 N.J.R. 2793(a).
In the introductory paragraph of (a), substituted "application" for "certification"; in the introductory paragraph of (a)1, substituted a period for a semicolon at the end; added (a)1i; in (a)3, substituted "Health Benefits Identification (HBID) Card" for "NJ FamilyCare-Children's Program Eligibility Identification Card"; and in (a)4, substituted "welfare agency" for "board of social services".