New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 70 - MEDICALLY NEEDY PROGRAM
Subchapter 4 - INCOME ELIGIBILITY
Section 10:70-4.3 - Computing income for six-month prospective period
Universal Citation: NJ Admin Code 10:70-4.3
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The county board of social services shall establish the best estimate of income that will be available in the six-month prospective eligibility period.
1. The best estimate of income shall be based
on an average of the budget unit's income for the full two-month period prior
to the date of application. Adjustments shall be made in the estimated income
to reflect changes in income that either have occurred or are reasonably
anticipated to occur which would affect countable income for the prospective
budget period. Once established, the best estimate of monthly income shall be
applied to each of the six months of the budget period. If the income for the
full six-month period is less than or equal to the MNIL for the six-month
period, eligibility for program benefits has been established. If the income
for the period exceeds the six-month MNIL, eligibility for program benefits may
be established through the medical spend-down process.
2. Income changes during the six-month
eligibility period require an adjustment to the countable income for the month
of the income change and a new best estimate of income must be established for
the remaining months of the eligibility period if the change in income will
continue.
i. For a case not subject to
medical spend-down, an increase in countable income for the remaining months of
the eligibility period, will result in the establishment of a spend-down
liability if the income for those months exceeds the MNIL for the remaining
months.
ii. For a case which has
been determined eligible pending spend-down, changes in income during the
eligibility period require a recomputation of spend-down liability for the
eligibility period which may increase or decrease the liability of the budget
unit. If a decrease in income is sufficient to reduce the budget unit's income
below the six-month MNIL, eligibility is established without a spend-down
liability for the remaining months of the eligibility period.
iii. For a case which has met the spend-down
liability during the eligibility period, the recomputation of income for the
remaining months of the eligibility period will result in the establishment of
an additional spend-down liability if the countable income for the remaining
months exceeds the MNIL for those months. Eligibility for the months in which
the previously computed liability was met will not be retroactively affected by
the new liability established for the remaining months of the eligibility
period.
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.
