N.J. Admin. Code § 10:69-10.3 - Total gross income limits

Current through Register Vol. 54, No. 7, April 4, 2022

(a) AFDC-related Medicaid program eligibility shall not exist for any month if the total income of the eligible unit exceeds the amount indicated in this subsection for the appropriate eligible unit size. For this purpose, total income shall include all income of the eligible unit (without benefit of the disregards described in this subchapter including the income of stepparents (exception: see (a)4 below concerning non-needy stepparents who marry an AFDC-C related Medicaid program parent on or after October 1, 1992)) and alien sponsors income determined available to the eligible unit as described in N.J.A.C. 10:69-10.43. Total income includes the earned income of the AFDC children except for earnings disregarded by provisions of N.J.A.C. 10:69-10.15. Child support payments, except for the first $50.00 monthly current child support received on behalf of the eligible unit, whether received directly by the household or collected through the Child Support and Paternity (CSP) process, shall be counted in the determination of total income. See N.J.A.C. 10:69-10.36 for companion cases.
1. The TANF grant shall not be considered as income for this purpose.
2. Funds exempted under N.J.A.C. 10:69-10.15 or 10.22(b)1 through 10 and moneys disregarded under N.J.A.C. 10:69-4.6 shall not be considered income for this purpose.
3. The following table represents 185 percent of the State's Standard of Need set forth in N.J.A.C. 10:69-10.2.

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(b) AFDC-related Medicaid program income eligibility standards are set forth below. The income standards are established for the eligible family unit according to the number of persons in the eligible unit.

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(c) Countable income sources (both earned and unearned, after application of all appropriate disregards) of an eligible family shall be subtracted from the income standard for the eligible family size set forth in (b) above to determine if the family is eligible for AFDC-related Medicaid.
1. The income standards under (b) above represent a ratable reduction of 45 percent of the State's Standard of Need set forth at N.J.A.C. 10:69-10.2 for the eligible family unit size.

Notes

N.J. Admin. Code § 10:69-10.3
Amended by R.2005 d.64, effective 2/22/2005.
See: 36 N.J.R. 3622(a), 37 N.J.R. 646(a).
Rewrote the section.

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