N.J. Admin. Code § 10:77-6.6 - Processing Medicaid/NJ FamilyCare eligibility applications

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

(a) All mobile response agencies shall designate a Medicaid presumptive eligibility (PE) coordinator and assure that this individual and all appropriate staff complete DMAHS PE training prior to completing any PE applications.
(b) Mobile response and stabilization management services include eligibility processing activities.
1. Mobile crisis response services shall include:
i. Completing a Medicaid/NJ FamilyCare Presumptive Eligibility (PE) application for each child, youth and young adult who are not Medicaid/NJ FamilyCare beneficiaries at the time of referral if this process has not already been initiated by another entity; and
ii. Submitting the completed PE application to DMAHS.
2. Stabilization management services shall include:
i. Assisting the child, youth or young adult and his or her family/caregiver in collecting the documentation required to complete and submit a Medicaid/NJ FamilyCare application within 30 days of referral for stabilization management services if this process has not already been initiated by another entity;
ii. Regularly reviewing eligibility factors for each child, youth or young adult and assisting the child, youth or young adult and/or his or her family in applying for any and all benefits for which they may be eligible, including, but not limited to, Medicaid and NJ FamilyCare; and
iii. Assisting the child, youth or young adult and/or his or her family in maintaining eligibility for Medicaid, NJ FamilyCare and other benefits, including, if applicable, assisting the beneficiary in obtaining any additional information needed for annual redeterminations of eligibility for services.

Notes

N.J. Admin. Code § 10:77-6.6
New Rule, R.2008 d.251, effective 8/18/2008.
See: 40 N.J.R. 1040(a), 40 N.J.R. 4807(a).
Former N.J.A.C. 10:77-6.6, Program description; mobile crisis response services, recodified to N.J.A.C. 10:77-6.7.

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