New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 49 - ADMINISTRATION MANUAL
Subchapter 2 - NEW JERSEY MEDICAID BENEFICIARIES
Section 10:49-2.16 - Validation form (FD-34) Validation of Eligibility
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The FD-34 Form, Validation of Eligibility (see Appendix, N.J.A.C. 10:49) identifies a Medicaid beneficiary who resides in a State or county institution.
(b) The New Jersey Medicaid and the NJ FamilyCare programs have designated specific Medical Assistance Customer Centers (MACCs) to handle prior authorization requests for services for patients/residents/beneficiaries from each institution and family care residents/beneficiaries who are under the jurisdiction of the Division of Developmental Disabilities. If the patient/beneficiary's Medicaid or NJ FamilyCare Eligibility Identification Number begins with any of the following numbers, providers shall contact the MACC indicated (for MACC Directory, see Appendix N.J.A.C. 10:49).
31 Morris MACC
32 Burlington MACC
33 Monmouth MACC
34 Camden MACC
35 Middlesex MACC
36 Monmouth MACC
37 Passaic MACC
37 Hudson MACC (Applicable only to 600,000 series)
38 Essex MACC
39 Camden MACC
41 Atlantic MACC
42 Passaic MACC
43 Middlesex MACC
44 Atlantic MACC
45 Burlington MACC
47 Middlesex MACC
48 Middlesex MACC
51 Middlesex MACC--Menlo Park Veterans Home
51 Middlesex MACC--Vineland Veterans Home
90 MACC in county in which beneficiary resides.