N.J. Admin. Code § 10:69-2.19

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:69-2.19 - Use of PA-1C as an application request

(a) Individuals who were admitted to a hospital and were subsequently referred to the CWA through the use of Form PA-1C, AFDC-related Medicaid Inquiry, may be eligible for AFDC-related Medicaid benefits from the date the PA-1C was completed, provided:

1. Such individual was an inpatient at the time the referral was made;

2. Except for good cause, including, but not limited to, hospitalizations lasting for three or more months, the homebound status of the applicant, the CWA was unable to schedule a timely application appointment, or the hospital failed to inform the applicant to apply at the CWA, the individual applies for AFDC-related Medicaid benefits within three months after the referral is made.

i. If the CWA determines that the individual had good cause for not applying within three months, an extension may be granted for an additional three months.

ii. Newborns of eligible women are deemed to have applied and shall be added to the Medicaid case, effective the date of birth, upon notifying the CWA of the birth.

N.J. Admin. Code § 10:69-2.19

Amended by 49 N.J.R. 3729(a), effective 12/4/2017