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Page 3 of 8 § 10:71-5.6 Income eligibility standards III. Living Alone or with Ineligible Spouse $ 1,107.36 IV. Living in Household of Another $ 524.98 $ 814.43 V. Title XIX Approved Facility: Includes $ 2,163.00+ persons in acute general hospitals, nursing facilities, intermediate care facilities/mental retardation (ICFMR) and licensed special hospitals (Class A, B, C) and Title XIX psychiatric hospitals (for persons under age 21 and age 65 and over) or a combination of such facilities for a full calendar month. + Gross income (that is, income prior to any income exclusions) is applied to this Medicaid "Cap." (d) For the purpose of the Medicaid program, Title XIX approved facilities shall include acute care general hospitals, nursing facilities, intermediate care facilities for the mentally retarded (ICF/MR) and licensed special hospitals (Class A, B and C) and Title XIX psychiatric hospitals (for persons under age 21 and age 65 and over). 1. Persons are considered institutionalized if they enter a Title XIX approved facility and a physician has certified that the duration of stay in the Title XIX facility (or a combination of such facilities) is expected to be 30 consecutive days or more. Income eligibility shall be determined in accordance with the variations contained in N.J.A.C. 10:71-5.4(b). However, the income of the institutionalized individual shall not be reduced by any of the income exclusions found in N.J.A.C. 10:71-5.3. 2. Institutionalized individuals, identified in (d)1 above, who are found Program eligible will receive benefits as of the date of admission. 3. Persons in a facility which is not Title XIX approved or whose stay is expected to be a period of less than 30 consecutive days will have eligibility determined in accordance with the community living arrangement which existed prior to entering the facility. 4. Temporary absence from the institution: Any temporary absence, during which the individual remains a patient of the institution, does not interrupt a continuous stay in the institution. 5. Persons living in the community who do not otherwise qualify for Medicaid benefits and who elect to participate in the hospice program, or who are assigned a slot in the Global Options or other waiver programs, will have financial eligibility determined in the same manner as those who reside in an institution. i. Such individuals who are found eligible will receive benefits on the date of the election of hospice benefits, or the date of assignment to a waiver slot, whichever is applicable. (e) No portion of a cash reward provided to any individual by the Division for providing information about fraud and/or abuse in any program administered in whole or in part by the Division shall be included in the computation of income for financial eligibility purposes. History HISTORY: Amended on emergency basis, R.1981 d.276, effective July 1, 1981. See: 13 N.J.R. 501(a). Readopted, R.1981 d.385, effective September 24, 1981. See: 13 N.J.R. 501(a), 13 N.J.R. 773(a).