New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 71 - MEDICAID ONLY
Subchapter 4 - RESOURCES
Section 10:71-4.5 - Resource eligibility standards
Current through Register Vol. 56, No. 18, September 16, 2024
(a) For eligibility in the Medicaid Only Program, total countable resources are subject to the following limits. (See 10:71-4.1(b) regarding definition of resources, 10:71-4.2 regarding countable resources, and 10:71-4.8 regarding resources of a couple when one member is applying for Medicaid for institutional services.)
(b) Resource maximum for a couple: Participation in the program shall be denied or terminated if the total value of a couple's countable resources exceeds $ 3,000.
(c) Resource maximum for an individual: participation in the program shall be denied or terminated if the total value of an individual's resources exceeds $ 2,000.
(d) Resource maximum (institutionalized individuals): The resource maximum for an individual in (c) above applies equally to individuals institutionalized in a Title XIX approved facility. Countable resources held in the institution (for example, trust funds, personal needs accounts) together with those held outside the institution, are to be applied toward the resource maximum. If the resource maximum is exceeded, Medicaid eligibility will cease. (See also 10:71-4.8 regarding resource eligibility for institutionalized individuals.)
(e) The grandfather clause: An individual who satisfied the following criteria may have his/her resource eligibility determined in accordance with procedures formerly used in New Jersey's OAA, AB, and DA programs if it is more advantageous to the individual (see Financial Assistance Manual, Chapter 300, for regulations in effect prior to January 1, 1974):
(f) No portion of a cash reward provided to any individual by the Division for providing information about fraud and/or abuse in any program administered in whole or in part by the Division shall be included in the computation of income for financial eligibility purposes.