New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 79 - NJ FAMILYCARE-CHILDREN'S PROGRAM
Subchapter 8 - PRESUMPTIVE ELIGIBILITY FOR NJ FAMILYCARE-CHILDREN'S PROGRAM
Section 10:79-8.5 - Responsibilities of the Division of Medical Assistance and Health Services
Universal Citation: NJ Admin Code 10:79-8.5
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Upon receipt of a properly completed application from the approved presumptive eligibility determination entity, Division staff shall:
1. Assign a presumptive eligibility number.
i. If the income level of the family
indicates eligibility for NJ FamilyCare-Children's Program-Plans B, C or D and
the beneficiary was previously terminated for non-payment of premiums, a
presumptive eligibility number shall not be assigned until past due premiums
are paid in full;
2.
Create an eligibility record on the Medicaid Eligibility File;
3. Issue a Health Benefits Identification
(HBID) Card; and
4. Notify the
approved presumptive eligibility determination entity and the appropriate
county welfare agency or Statewide eligibility determination agency of the
presumptive eligibility identification number assigned to the
beneficiary.
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