New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 77 - REHABILITATIVE SERVICES FOR CHILDREN
Subchapter 6 - MOBILE RESPONSE AND STABILIZATION MANAGEMENT SERVICES
Section 10:77-6.6 - Processing Medicaid/NJ FamilyCare eligibility applications
Universal Citation: NJ Admin Code 10:77-6.6
Current through Register Vol. 56, No. 18, September 16, 2024
(a) All mobile response agencies shall designate a Medicaid presumptive eligibility (PE) coordinator and assure that this individual and all appropriate staff complete DMAHS PE training prior to completing any PE applications.
(b) Mobile response and stabilization management services include eligibility processing activities.
1. Mobile crisis response services shall
include:
i. Completing a Medicaid/NJ
FamilyCare Presumptive Eligibility (PE) application for each child, youth and
young adult who are not Medicaid/NJ FamilyCare beneficiaries at the time of
referral if this process has not already been initiated by another entity;
and
ii. Submitting the completed PE
application to DMAHS.
2.
Stabilization management services shall include:
i. Assisting the child, youth or young adult
and his or her family/caregiver in collecting the documentation required to
complete and submit a Medicaid/NJ FamilyCare application within 30 days of
referral for stabilization management services if this process has not already
been initiated by another entity;
ii. Regularly reviewing eligibility factors
for each child, youth or young adult and assisting the child, youth or young
adult and/or his or her family in applying for any and all benefits for which
they may be eligible, including, but not limited to, Medicaid and NJ
FamilyCare; and
iii. Assisting the
child, youth or young adult and/or his or her family in maintaining eligibility
for Medicaid, NJ FamilyCare and other benefits, including, if applicable,
assisting the beneficiary in obtaining any additional information needed for
annual redeterminations of eligibility for services.
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