New Jersey Administrative Code
Title 3A - CHILDREN AND FAMILIES
Chapter 40 - DETERMINATION OF ELIGIBILITY FOR FUNCTIONAL SERVICES FROM THE DIVISION OF CHILDREN'S SYSTEM OF CARE
Subchapter 2 - ELIGIBILITY CRITERIA
Section 3A:40-2.1 - General eligibility

Universal Citation: NJ Admin Code 3A:40-2.1

Current through Register Vol. 56, No. 18, September 16, 2024

(a) An individual must have a developmental disability and meet the residency requirements described in N.J.A.C. 3A:40-2.2 to be eligible to receive functional services from the CSOC.

1. If the applicant is a child, substantial functional limitations are evaluated according to expectations based on the child's chronological age.

(b) An applicant who is deemed eligible to receive functional services from the CSOC shall, as a condition of continuing eligibility, apply for all benefits, including, but not limited to, Medicaid, NJ Family Care and any other State or Federal benefits for which he or she may be eligible and comply with the requirements for continuing eligibility if found eligible. The CSOC does not provide services that are available through other sources.

1. Notwithstanding the requirement to apply for benefits as set forth in this subsection, denial of an application for benefits does not constitute grounds for finding an individual ineligible for functional services from the CSOC.

(c) The receipt of functional residential services is contingent on the individual's or legally responsible relative's compliance with the requirements regarding contribution to the cost of care and maintenance set forth in N.J.S.A. 30:4-60 and 66.

(d) Individuals under 21 years of age who were determined eligible to receive functional services by the Division of Developmental Disabilities prior to January 1, 2013, shall be presumed eligible to receive functional services from the CSOC, but are subject to the provisions of (e) below.

(e) Consistent with N.J.S.A. 30:6D-32.8.c, eligible individuals are reassessed regarding their service needs at clinically appropriate intervals and, if that reassessment suggests that the individual no longer requires functional services or meets the eligibility criteria set forth in this chapter, the individual is reevaluated for continued eligibility for the CSOC's functional services.

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