New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 70 - MEDICALLY NEEDY PROGRAM
Subchapter 4 - INCOME ELIGIBILITY
Section 10:70-4.1 - Medically Needy Income Levels
Universal Citation: NJ Admin Code 10:70-4.1
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Income eligibility for the Medically Needy Program may be established by two methods. If the countable income of the budget unit (as determined in this subchapter) is equal to or less than the Medically Needy Income Level (MNIL) appropriate for the budget unit size, income eligibility is established and the eligible persons are entitled to Medically Needy Program payment for covered services. For cases in which the countable income of the budget unit exceeds the appropriate MNIL, income eligibility may only be established through medical spend-down (see N.J.A.C. 10:70-6).
1. The
monthly MNIL for budget units consisting of two to 10 persons shall be based on
the AFDC allowance standards (as set forth at
10:69-10.3) . The allowance
standard for the eligible unit size corresponding to the budget unit size will
be multiplied by 1.333. The result of this computation shall be multiplied by
12 and the result rounded up to the next nearest $ 100.00. After rounding, the
amount shall be divided by 12. Any cents resulting from this calculation are
dropped and the remainder is the monthly MNIL.
2. To establish the monthly MNIL for budget
units of more than 10 persons, the calculation in (a)1 above shall be applied
to the AFDC increment applicable for each additional person in eligible units
of more than 10 persons (see
10:69-10.3) . The resulting amount
for each additional budget unit member shall be added to the monthly MNIL for
10 persons.
3. For budget units of
one person, the AFDC allowance standard for two persons shall be reduced by the
increment for each additional person applicable to eligible units of more than
10 persons (see
10:69-10.3) . The result of this
computation shall be calculated as in (a)1 above. The resulting amount is the
monthly MNIL for one person.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.