loading…
loading…
loading…
Page 3 of 6 § 10:69-1.5 Definitions "Disregards" means the amount discounted from income in the AFDC programs according to Federal and/or State regulations. (see N.J.A.C. 10:69-10) "Division of Employment Services (DES)" means the office within the State Department of Labor responsible for administration of Unemployment Insurance and Temporary Disability Benefits programs. "Division of Medical Assistance and Health Services" means office within the State Department of Human Services responsible for supervision of the administration of the AFDC-related Medicaid program. "DMAHS" means Division of Medical Assistance and Health Services. "DVRS" means the Division of Vocational and Rehabilitation Services in the Department of Human Services. "Eligible medical institution" means a facility or specified section thereof certified as an approved institution for the purpose of treating acute illness (private or general hospitals) or providing care for the chronically ill (nursing homes or intermediate care facilities). "Eligible unit" means those family members who apply for and are eligible to receive AFDC-related Medicaid. "Emancipated" means a child released from the duty to serve and obey his or her parent(s) and having the right to his or her earnings. Emancipation may be expressed or implied from the circumstances. "Family size" means, in an LRR's household, those persons identified in N.J.A.C. 10:69-3.31 (members of the eligible unit are not included). "Financially eligible" means meeting the income standards in this chapter. "Gross earned income" means the total earnings of members of the eligible unit before applicable disregards and deductions are subtracted. "Head of household" means the individual who is recognized by other members of the household as having primary responsibility for financial control and direction of the household. "Health Benefits Identification (HBID) Card" means a permanent, plastic identification card issued to each Medicaid beneficiary. The card is for identification purposes only; providers must verify eligibility in accordance with N.J.A.C. 10:49-2 before they provide services. The front of the card includes the beneficiary's name and a 16-digit card control number (CCN). The back of the card includes a magnetic strip that electronically stores the beneficiary's name and CCN. "Health Benefits Identification (HBID) Emergency Services Letter" means a letter that contains pertinent information the provider will need to confirm eligibility and submit claims for services rendered to an eligible Medicaid beneficiary prior to the receipt of his or her HBID Card. The letter will include an expiration date indicating when the letter will no longer be acceptable as a substitute for the HBID Card. "Incapacity" means physical or mental defect, illness or impairment, supported by competent medical testimony, of such a debilitating nature as to reduce substantially or eliminate the parent's ability to support or care for the otherwise eligible child, which is expected to last for a least 30 days. "Incompetent (certified)" means certified by a court of law as incompetent. "Inquiry" means any request for information about assistance programs which is not a request for application. "Institution in New Jersey" means a total facility, or a designated part thereof, that include the following: 1. Hospital--general or special; 2. Nursing facility (NF); 3. Public psychiatric or tuberculosis hospital; 4. Certified section of State operated institution for the mentally retarded; or