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Page 2 of 3 § 10:69-5.13 Extension of Medicaid benefits age 19, except that such child shall be evaluated for Medicaid eligibility for other appropriate Medicaid programs; and iii. All other family members who are receiving Medicaid extension solely because of the presence in the home of a child who "ages out," as described in (a)4ii above, shall be terminated. (b) Those cases that are in Medicaid extension only shall also be transferred to the new county of residence when the family moves from the county of origin in the same manner as active AFDC-related Medicaid cases. The procedures established at N.J.A.C. 10:69-3.24 are to be followed when transferring a case in Medicaid extension. (c) AFDC applicants may be eligible for retroactive Medicaid benefits; such determinations are made by the CSSA. The eligibility worker shall ask if the family has unpaid medical bills from the previous three months and shall provide the applicant with appropriate forms. The CSSA shall make a determination of eligibility for each of the three previous months, based on the eligibility rules in this chapter. (d) AFDC eligible families who would not have received any AFDC payments solely because the amount payable would be less than $ 10.00, are eligible for AFDC-related Medicaid benefits. Likewise, AFDC families who would have been ineligible for AFDC solely because of rounding of the amount that would otherwise be payable, are eligible for AFDC-related Medicaid benefits. (e) For newborns of eligible women who have applied, before or on the date of the birth, and are eligible for Medicaid on the date of birth, except for a presumptively eligible pregnant woman, as defined at N.J.A.C. 10:72-6.1, who is subsequently found ineligible for the month the child was born, eligibility continues for both mother and child through the last day of the month in which the 60-day post-partum period ends, without regard to other program requirements. So long as the mother remains eligible, or would remain eligible if pregnant, the child remains eligible for Medicaid for a period of one year, whether or not application has been made for the child. (f) Individuals who were admitted to a hospital and were subsequently referred to the CSSA through the use of Form PA-1C, Public Assistance Inquiry, may be eligible for 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 CSSA was unable to schedule a timely application appointment, or the hospital failed to inform the applicant to apply at the CSSA, the individual applies for AFDC-related Medicaid benefits within three months after the referral is made. i. If the CSSA 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 receipt of a valid Form PA-1C (see N.J.A.C. 10:69-2.19 for coverage limits). (g) Those cases that are in Medicaid extension only shall also be transferred to the new county of residence when the family moves from the county of origin in the same manner as active AFDC-related Medicaid cases. The procedures established at N.J.A.C. 10:69-3.24 are to be followed when transferring a case in Medicaid extension. History HISTORY: Special amendment, R.2000 d.411, effective September 12, 2000 (to expire March 12, 2001).