(a) A parent or parent-person who is about to be
released from an institutional facility (medical, mental, or correctional) may apply for AFDC-C related
When eligibility has been established, benefits can
begin upon release from the institution, providing the parent and child will be living together within 30
days of the date of issuance except in circumstances identified in (b)1 below. This application may be
registered and processed up to two months before anticipated date of release.
1. When an applicant parent is being released from an institution for the
mentally ill or intellectually disabled, or a correctional facility, no Health Benefits Identification (HBID)
Card or HBID Emergency Services Letter shall be issued until the actual release, discharge, or parole is a
matter of record and verified by the CWA, and the applicant is not adjudged or alleged to be mentally
A parent or parent-person
from a dependent child
for a period no more than 30 days prior to application, who wishes to maintain an
already established home for that child with whom such parent or parent-person customarily resides, may apply
for and receive a Health Benefits Identification (HBID) Card or HBID Emergency Services Letter for the
child(ren) temporarily absent from the home. In this case, such parent or parent-person must indicate plans
to return to the home within two months from the month in which the HBID Card or HBID Emergency Services
Letter is initially issued (see N.J.A.C. 10:69-3.28
In the case of the return to the home of a beneficiary
family by a
parent, parent-person, or spouse in AFDC
-C or child of eligible age in any segment, no application for
Medicaid is involved.
If the individual will return to a home or plans
to establish a home with a dependent child
in the county receiving the inquiry and appears eligible for
Medicaid, the CWA of that county shall register the application, assist in completion of the plan as
necessary, complete the determination of eligibility and be responsible for issuance of the Health Benefits
Identification (HBID) Card or HBID Emergency Services Letter (see
2. If the
individual is to return to a home or desires to establish a home with a dependent child in another county,
the CWA receiving the inquiry shall complete an application interview and assist the individual to complete
an application form. All information that the applicant can supply shall be obtained and recorded on
appropriate case record forms, which shall be forwarded to the county where the family currently resides or
is planning to establish a home. The county receiving the application shall process and register the
application without delay.
initial planning for the return of a patient to the community rests with the institutional authorities. When
-related Medicaid is necessary and the person appears eligible, the Division of Mental Health and
Addiction Services shall coordinate the application with the appropriate CWA. The Division of Mental Health
and Addiction Services shall be responsible for reviewing such referrals to assure that all essential
information is assembled, and for expediting the processing of an application by the appropriate CWA for
final determination of eligibility.
The institution shall routinely
complete the following forms without change, a stock supply of which shall be provided to them by the DMAHS
and shall forward copies to the CWA along with copies of staff notes pertinent to each case:
i. Form PA-12, Referral by State Mental Institution to AFDC-related
Medicaid Agency; and
ii. Form DRS-8, Report of Findings by
Psychiatric Diagnostic Group, where appropriate.
Persons under the jurisdiction of Division of Developmental Disabilities, Bureau of Field Services, shall be
referred directly to the appropriate CWA.
parent is about to be released from a veteran's hospital, the hospital shall make referral
in writing, with
the knowledge and consent of the veteran, to include the following minimum information: identifying data, the
anticipated date of discharge, and a description of any known or tentative living arrangement following
In addition, the hospital shall complete, without charge, the
following forms as appropriate;
i. DRS-8, Report of Findings by Diagnostic
ii. Abstract of patient's hospital record, or in absence
iii. DRS-1, Examining Physician's Report;
iv. DRS-1A, Report of Eye Examination.
2. Thereafter, the CWA shall arrange for an application interview and shall
process the application as any other.
service staff of the institution shall assist in completing the application in accordance with N.J.A.C.
1. The social service worker is responsible for prompt
investigation to determine initial eligibility, including inquiry regarding any funds held by the institution
or other party in a personal account for the applicant. The social service worker shall discuss available
services including assistance in locating a suitable living arrangement with the applicant. The social
service worker shall not send the completed referral forms to the designated CWA.
(h) The CWA shall register cases transferred from Division of Mental Health
and Addiction Services within one working day. The CWA shall determine initial eligibility within 30 days and
so inform in writing the social service worker that will coordinate discharge of the client.
(i) A child of eligible age or a spouse of an AFDC-C beneficiary parent who
is at home on extended visit or convalescent leave from a State institution is eligible for inclusion in the
AFDC-C or-F eligible unit, as appropriate.