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N.J.A.C. 10:90-5.9 This file includes all Regulations adopted and published through the New Jersey Register, Vol. 56 No. 24, December 16, 2024
NJ - New Jersey Administrative Code > TITLE 10. HUMAN SERVICES > CHAPTER 90. WORK FIRST NEW JERSEY PROGRAM > SUBCHAPTER 5. SUPPORTIVE SERVICES
§ 10:90-5.9 Medicaid extension (employment-related)
(a) Extended Medicaid benefits are available to families who lose eligibility for Medicaid due to employment-related criteria based on the income standards and methodologies in effect for the Aid to Families with Dependent Children (AFDC) program as of July 16, 1996. Thus, extended Medicaid benefits will begin with the loss of WFNJ cash assistance only when that loss was coincident with the loss of Medicaid eligibility under the July 16, 1996 AFDC income standards and methodologies in accordance with N.J.A.C. 10:69. (b) When a family with dependent children loses eligibility for Medicaid based on the income standards and methodologies in effect for the AFDC program as of July 16, 1996, for the reasons given below, Medicaid eligibility continues for a period of 24 months beginning with the month in which the family was no longer eligible under those standards and methodologies. The 24-month extension period shall begin, even though the family may continue to receive WFNJ cash assistance. 1. Earnings or increased earnings from employment, including earnings from new employment; 2. Earnings or income from employment combined with child support collections, when earnings are a significant contributing factor to case closing; 3. Loss of the $ 30.00 and one-third income disregards because of the time-limited application of those disregards; 4. Increased hours of employment; and 5. Receipt of New Jersey State unemployment or temporary disability insurance benefits. (c) A family with dependent children, whose case closes for reasons other than employment, that gains employment within the 24 months after case closing, may be eligible to receive extended Medicaid benefits for the balance of the 24 month Medicaid extension period which would have begun at case closing. (d) Persons who secure employment through the Early Employment Initiative (EEI) program (see N.J.A.C. 10:90-17) may be eligible for 24 months of extended Medicaid benefits.