N.J. Admin. Code § 8:133-5.2

Current through Register Vol. 56, No. 9, May 6, 2024

Section 8:133-5.2 - Procedures

(a) To ensure Medicaid coverage for an Interim Assistance client, the following procedures shall be followed:

1. The individual completing the hospital daily population movement report shall list an Interim Assistance client as released to "Other".

2. The Financial Entitlement Unit or equivalent shall notify the Division of Medical Assistance and Health Services or designee of each impending client placement in the Interim Assistance Program. This notification shall precede the client's release to the greatest extent possible to provide for case processing by the Division of Medical Assistance and Health Services.

3. The Division of Medical Assistance and Health Services will establish community Medicaid coverage for the Interim Assistance client and promptly notify the hospital staff or designee of the appropriate Medicaid identification number for the client's use in obtaining covered medical services while receiving Interim Assistance benefits.

4. Form FD-412, Health Benefits Identification Card -- Emergency Services Letter, (Appendix K) shall be completed by the designated hospital representative on the date of placement, as needed. The permanent Health Benefits Identification Card will be received by the Interim Assistance recipient within approximately three to five business days of the establishment of community Medicaid; and

5. The client, family or housing provider may use the Form FD-412 Health Benefits Identification Card -- Emergency Services Letter, to obtain covered medical care, including pharmaceuticals, for the client until receipt of the permanent Health Benefits Identification Card.

N.J. Admin. Code § 8:133-5.2

Recodified from 10:38-5.2 54 N.J.R. 65(a), effective 1/3/2022