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N.J.A.C. 10:71-3.15 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 71. MEDICAID ONLY > SUBCHAPTER 3. ELIGIBILITY FACTORS § 10:71-3.15 County social service agency responsibility and procedures; eligibility factors (a) The CSSA shall be responsible for determining income and resource eligibility, as outlined in N.J.A.C. 10:71-4 and 5, for Medicaid Only when the applicant is receiving care in institutions defined in N.J.A.C. 10:71-3.14(d). This does not include residents of the State psychiatric hospitals, the State schools for persons with intellectual disabilities, Bergen Pines County Psychiatric Hospital and Essex County Hospital Center, which are the responsibility of the Institutional Services Section of the Division of Medical Assistance and Health Services. (b) When eligibility depends upon the disability or blindness factor, the determination of medical eligibility shall be the responsibility of the Medical Review Team (MRT). The CSSA shall furnish the MRT with current, pertinent social and medical information as outlined in this subchapter. (c) When eligibility for Medicaid Only has been determined, the CSSA will complete and process a Medicaid Status File Transaction, Form MAP-1, within 10 working days from the date of such determination. The CSSA will issue and distribute Medicaid validation stubs to Medicaid Only beneficiaries who are not in long-term care facilities. The CSSA will complete the statement of income available for nursing home payment (PR-1) (formerly PA-3L) when appropriate. (d) A determination of continuing eligibility shall be made in accordance with N.J.A.C. 10:71-5. History HISTORY: Amended by R.1995 d.651, effective December 18, 1995. See: 27 N.J.R. 3543(a), 27 N.J.R. 5046(a). Amended by R.2000 d.415, effective October 16, 2000. See: 32 N.J.R. 2565(a), 32 N.J.R. 3844(a). Substituted references to CBOSSs for references to CWAs throughout; and in (c), substituted "beneficiaries" for "recipients" in the second sentence, and substituted "(PR-1) (formerly PA-3L)" for "(PA-3L)" in the third sentence. Amended by R.2012 d.025, effective February 6, 2012. See: 43 N.J.R. 804(a), 44 N.J.R. 230(a). Section was "County board of social services responsibility and procedures; eligibility factors". Rewrote the section. Annotations