Page 17

N.J.A.C. 10:70-2.1 This file includes all Regulations adopted and published through the New Jersey Register, Vol. 57 No. 12, June 16, 2025 NJ - New Jersey Administrative Code > TITLE 10. HUMAN SERVICES > CHAPTER 70. MEDICALLY NEEDY PROGRAM > SUBCHAPTER 2. CASE PROCESSING § 10:70-2.1 Application (a) Application for the Medically Needy Program shall be accomplished by the completion and signing of Form PA-1G for SSI-related cases and Form PA-1J for AFDC-related cases, as well as, any addenda to those forms as prescribed by the Division of Medical Assistance and Health Services. 1. Application for the Program shall be executed by: i. A parent, caretaker relative, or guardian for cases with children under the age of 21 residing with a parent or caretaker relative; ii. A child age 18 or older when not residing with a parent or caretaker relative; iii. A pregnant woman age 18 or older; iv. The parent or caretaker relative of a disabled or blind child; v. The adult seeking benefits as aged, blind, or disabled. 2. For cases which, because of confinement, illness, incapacity, disability, or lack of competence of the person(s) required to execute the application, and for children who not yet attained the age of 18, the application may be executed on such person's behalf by: i. A relative by blood or marriage; ii. A staff member of a public or private welfare agency of which the person seeking program benefits is a client, who has been designated by the agency to so act; iii. The attorney or physician of the person seeking program benefits; iv. A staff member of an institution or facility in which the person is receiving care, who has been designated by the institutional facility to so act. 3. A legal guardian shall be recognized as an authorized agent to initiate an application for the Medically Needy Program. (b) The county board of social services, under policies and procedures established by the Division of Medical Assistance and Health Services, has the direct responsibility in the application process to: 1. Inform applicants of the purpose and the eligibility requirements for the Medically Needy Program, their rights and responsibilities under the Program, and of their right to a fair hearing; 2. Receive applications and review them for completeness, consistency, and reasonableness; 3. Assist program applicants in exploring their eligibility for program benefits; 4. Make known to program applicants, the appropriate resources and services both within the agency and the community; and